This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 67% from 2014 to 2023.
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 | $133.99 | $72.99 | 1.84x | $61.00 | $283.2K | 3.3K | 2.0K |
| 2015 | $145.32 | $83.03 | 1.75x | $62.29 | $329.8K | 3.7K | 2.2K |
| 2016 | $165.97 | $86.49 | 1.92x | $79.48 | $381.8K | 4.4K | 2.9K |
| 2017 | $138.61 | $78.12 | 1.77x | $60.49 | $336.5K | 4.3K | 3.0K |
| 2018 | $139.52 | $79.87 | 1.75x | $59.65 | $340.9K | 4.8K | 3.7K |
| 2019 | $141.00 | $83.15 | 1.70x | $57.85 | $383.6K | 5.1K | 3.8K |
| 2020 | $140.97 | $82.57 | 1.71x | $58.40 | $344.0K | 4.9K | 3.9K |
| 2021 | $141.00 | $85.43 | 1.65x | $55.57 | $426.8K | 5.3K | 4.2K |
| 2022 | $141.00 | $82.15 | 1.72x | $58.85 | $443.8K | 5.7K | 4.5K |
| 2023 | $144.69 | $84.69 | 1.71x | $60.00 | $473.0K | 6.1K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.0K | $999.9K | $83.34 | 1.92x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.6K | $825.8K | $125.31 | 1.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.0K | $565.0K | $56.68 | 1.94x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.6K | $275.7K | $175.05 | 1.14x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $191.5K | $162.31 | 1.85x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $141.8K | $85.79 | 1.87x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 833 | $124.2K | $149.06 | 1.48x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3K | $119.7K | $88.74 | 1.80x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.5K | $89.2K | $60.08 | 1.85x |
| G0444 | Annual depression screening, 15 minutes | 4.7K | $88.7K | $18.75 | 1.60x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 402 | $69.0K | $171.54 | 1.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 456 | $53.7K | $117.84 | 2.04x |
| 99236 | Hospital observation or inpatient care high severity, 55 minutes per day | 300 | $52.6K | $175.31 | 1.88x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 623 | $46.0K | $73.83 | 2.17x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 698 | $30.1K | $43.08 | 2.32x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 575 | $15.5K | $26.91 | 2.60x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 873 | $13.9K | $15.87 | 1.89x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 125 | $13.5K | $107.86 | 1.95x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 870 | $10.9K | $12.48 | 4.01x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 24 | $4.4K | $184.69 | 2.22x |
This provider submits charges 1.68 times higher than what Medicare actually pays.
A markup ratio of 1.68x means for every $100 Medicare pays, this provider initially charges $168. 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 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 |
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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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