⚠️ This provider averages 735 services per working day — physically unusual for an individual practitioner
Based on 1.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 735 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 541% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 101% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $50.16 | $15.45 | 3.25x | $34.71 | $514.7K | 33.3K | 18 |
| 2015 | $55.34 | $21.56 | 2.57x | $33.78 | $951.0K | 44.1K | 24 |
| 2016 | $33.22 | $14.42 | 2.30x | $18.80 | $801.9K | 55.6K | 29 |
| 2017 | $22.44 | $9.66 | 2.32x | $12.78 | $1.0M | 104.8K | 25 |
| 2018 | $19.58 | $8.46 | 2.31x | $11.12 | $1.6M | 184.7K | 23 |
| 2019 | $26.84 | $10.35 | 2.59x | $16.49 | $3.1M | 303.6K | 23 |
| 2020 | $28.61 | $11.01 | 2.60x | $17.60 | $3.2M | 294.2K | 23 |
| 2021 | $28.33 | $14.41 | 1.97x | $13.92 | $2.7M | 189.8K | 21 |
| 2022 | $23.57 | $10.82 | 2.18x | $12.75 | $2.9M | 272.2K | 22 |
| 2023 | $23.77 | $9.27 | 2.56x | $14.50 | $3.3M | 355.9K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 1.1M | $6.4M | $5.61 | 2.37x |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 141.1K | $5.2M | $36.71 | 2.15x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 124.3K | $1.6M | $12.79 | 2.19x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15.4K | $1.2M | $81.20 | 2.91x |
| J0897 | Injection, denosumab, 1 mg | 75.0K | $1.2M | $15.41 | 2.02x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 26.5K | $1.1M | $42.43 | 3.22x |
| J3262 | Injection, tocilizumab, 1 mg | 215.4K | $948.1K | $4.40 | 2.42x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 8.7K | $526.7K | $60.76 | 2.31x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 64.0K | $494.9K | $7.73 | 2.18x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.9K | $418.5K | $108.56 | 3.37x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.0K | $383.5K | $54.71 | 2.75x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.2K | $273.2K | $122.57 | 3.01x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.2K | $188.6K | $156.68 | 2.36x |
| 20610 | Aspiration and/or injection of fluid from large joint | 1.1K | $49.4K | $45.55 | 3.50x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 482 | $33.0K | $68.56 | 3.65x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 855 | $20.4K | $23.84 | 5.08x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 610 | $19.6K | $32.08 | 2.38x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 177 | $19.6K | $110.54 | 2.87x |
| 20550 | Injection into tendon or ligament | 422 | $17.7K | $41.85 | 2.91x |
| 20606 | Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance | 300 | $17.6K | $58.56 | 3.41x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Internal Medicine providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patrick Anastasio, D.O. | Fort Walton Beach, FL | $39.5M | ✓ Clear |
| Steven Newman, MD | Naples, FL | $35.4M | ⚠️ Flagged |
| Abraham Schwarzberg, MD | Palm Springs, FL | $34.6M | ✓ Clear |
Share this provider's Medicare payment information
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
Believe this data is inaccurate? Dispute this data