⚠️ This provider averages 845 services per working day — physically unusual for an individual practitioner
Based on 2.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $32.1M in total Medicare payments ranks in the 99th percentile of Rheumatology providers nationally.
Averaging 845 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 124% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% 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 | $29.90 | $15.54 | 1.92x | $14.36 | $1.6M | 101.0K | 41 |
| 2015 | $24.92 | $12.37 | 2.01x | $12.55 | $1.4M | 116.4K | 36 |
| 2016 | $24.73 | $12.70 | 1.95x | $12.03 | $1.9M | 151.0K | 38 |
| 2017 | $28.53 | $15.79 | 1.81x | $12.74 | $2.2M | 140.8K | 36 |
| 2018 | $24.11 | $14.23 | 1.69x | $9.88 | $2.7M | 190.9K | 37 |
| 2019 | $28.08 | $16.45 | 1.71x | $11.63 | $4.2M | 255.9K | 39 |
| 2020 | $30.47 | $17.66 | 1.73x | $12.81 | $5.5M | 308.7K | 39 |
| 2021 | $32.43 | $17.77 | 1.82x | $14.66 | $5.7M | 321.3K | 39 |
| 2022 | $29.92 | $14.60 | 2.05x | $15.32 | $3.4M | 231.3K | 36 |
| 2023 | $27.47 | $11.92 | 2.30x | $15.55 | $3.5M | 294.8K | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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) | 400.8K | $15.2M | $37.83 | 1.69x |
| 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) | 664.4K | $3.6M | $5.48 | 1.94x |
| J9312 | Injection, rituximab, 10 mg | 43.4K | $3.1M | $70.50 | 1.91x |
| J3262 | Injection, tocilizumab, 1 mg | 719.0K | $2.8M | $3.89 | 1.77x |
| J9310 | Injection, rituximab, 100 mg | 2.4K | $1.5M | $621.27 | 1.67x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13.6K | $1.1M | $83.20 | 2.08x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.0K | $853.6K | $106.48 | 2.35x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 13.2K | $763.0K | $57.81 | 1.99x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 83.7K | $631.0K | $7.54 | 2.04x |
| J0897 | Injection, denosumab, 1 mg | 38.3K | $611.2K | $15.94 | 2.16x |
| J1745 | Injection infliximab, 10 mg | 5.6K | $314.4K | $56.35 | 1.70x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 1.7K | $203.4K | $116.95 | 1.98x |
| 20610 | Aspiration and/or injection of fluid from large joint | 3.6K | $147.6K | $41.26 | 2.55x |
| 73221 | Mri scan of arm joint without contrast | 899 | $110.6K | $123.02 | 6.02x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.9K | $106.2K | $54.73 | 2.12x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 649 | $103.5K | $159.53 | 1.82x |
| 20553 | Injection of trigger points, 3 or more muscles | 2.2K | $102.5K | $47.41 | 2.32x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 10.7K | $98.6K | $9.23 | 2.71x |
| 73120 | X-ray of hand, 2 views | 3.1K | $67.2K | $21.57 | 3.01x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 2.9K | $66.4K | $22.85 | 3.28x |
This provider submits charges 1.88 times higher than what Medicare actually pays.
A markup ratio of 1.88x means for every $100 Medicare pays, this provider initially charges $188. This is lower 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 Rheumatology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aymen Kenawy, M.D. | Lynn Haven, FL | $56.3M | ✓ Clear |
| Vipul Joshi, MD | Brandon, FL | $41.8M | ✓ Clear |
| Adam Rosen, MD | Clearwater, FL | $38.6M | ✓ Clear |
| Eugenia Rullan Bidot, MD | Clearwater, FL | $38.2M | ✓ Clear |
| Marc Hirsh, M.D. | Delray Beach, FL | $33.8M | ✓ Clear |
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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.
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