This provider averages 63 services per working day
Based on 158.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $3.9M in total Medicare payments ranks in the 95th percentile of Rheumatology providers nationally.
Averaging 63 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $132.11 | $51.52 | 2.56x | $80.59 | $401.7K | 15.8K | 4.9K |
| 2015 | $123.02 | $45.14 | 2.73x | $77.88 | $357.6K | 14.0K | 4.8K |
| 2016 | $127.05 | $48.11 | 2.64x | $78.94 | $376.1K | 14.8K | 4.6K |
| 2017 | $125.13 | $45.18 | 2.77x | $79.95 | $381.5K | 15.3K | 4.6K |
| 2018 | $120.31 | $42.35 | 2.84x | $77.96 | $407.1K | 18.4K | 5.2K |
| 2019 | $120.60 | $42.85 | 2.81x | $77.75 | $422.0K | 17.8K | 5.1K |
| 2020 | $113.02 | $34.84 | 3.24x | $78.18 | $390.7K | 16.2K | 4.7K |
| 2021 | $113.04 | $38.59 | 2.93x | $74.45 | $435.2K | 16.1K | 4.7K |
| 2022 | $120.28 | $34.31 | 3.51x | $85.97 | $380.1K | 15.3K | 4.4K |
| 2023 | $114.34 | $27.99 | 4.09x | $86.35 | $339.0K | 14.8K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.0K | $2.0M | $84.74 | 1.77x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 22.1K | $785.0K | $35.50 | 5.63x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 3.5K | $207.5K | $59.41 | 3.21x |
| 89060 | Crystal identification from tissue or body fluid | 22.9K | $192.7K | $8.43 | 5.93x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 23.1K | $186.4K | $8.09 | 24.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $178.6K | $120.74 | 2.07x |
| 89051 | Body fluid cell count with cell identification | 22.9K | $148.0K | $6.47 | 7.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $100.3K | $55.37 | 1.81x |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 22.8K | $42.1K | $1.84 | 13.56x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 478 | $27.6K | $57.64 | 2.17x |
| 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) | 4.7K | $24.9K | $5.35 | 3.19x |
| 96372 | Injection of drug or substance under skin or into muscle | 1.4K | $15.3K | $10.61 | 18.85x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 113 | $12.4K | $110.01 | 1.82x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 122 | $10.1K | $82.40 | 1.82x |
| 96161 | Administration and interpretation of caregiver-focused health risk assessment | 7.9K | $6.2K | $0.79 | 1.27x |
| J0897 | Injection, denosumab, 1 mg | 160 | $1.8K | $11.54 | 2.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 13 | $1.1K | $84.92 | 2.12x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 23 | $762.50 | $33.15 | 2.41x |
This provider submits charges 4.38 times higher than what Medicare actually pays.
A markup ratio of 4.38x means for every $100 Medicare pays, this provider initially charges $438. 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 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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