This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $86.85 | $60.01 | 1.45x | $26.84 | $273.9K | 7.7K | 4.3K |
| 2015 | $94.65 | $65.05 | 1.46x | $29.60 | $342.1K | 8.6K | 5.3K |
| 2016 | $90.90 | $61.97 | 1.47x | $28.93 | $399.6K | 9.9K | 6.2K |
| 2017 | $94.89 | $64.83 | 1.46x | $30.06 | $415.5K | 9.3K | 5.9K |
| 2018 | $89.83 | $63.00 | 1.43x | $26.83 | $427.6K | 9.4K | 6.0K |
| 2019 | $83.15 | $58.40 | 1.42x | $24.75 | $412.4K | 10.0K | 6.8K |
| 2020 | $79.75 | $50.10 | 1.59x | $29.65 | $366.8K | 9.0K | 6.4K |
| 2021 | $82.99 | $54.25 | 1.53x | $28.74 | $478.0K | 9.2K | 6.8K |
| 2022 | $83.67 | $57.89 | 1.45x | $25.78 | $488.2K | 9.0K | 6.6K |
| 2023 | $80.35 | $55.27 | 1.45x | $25.08 | $404.9K | 8.2K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.7K | $1.2M | $78.75 | 1.53x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 7.1K | $839.7K | $118.86 | 1.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.2K | $738.1K | $51.97 | 1.67x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 1.6K | $225.8K | $139.12 | 1.35x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 4.0K | $72.2K | $17.89 | 1.34x |
| G0008 | Administration of influenza virus vaccine | 3.0K | $68.8K | $22.58 | 1.15x |
| 90670 | Pneumococcal vaccine for injection into muscle | 396 | $68.5K | $173.09 | 1.03x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 438 | $66.8K | $152.51 | 1.07x |
| 90662 | Vaccine for influenza for injection into muscle | 939 | $60.1K | $63.97 | 1.11x |
| G0444 | Annual depression screening, 15 minutes | 2.9K | $51.9K | $17.83 | 1.23x |
| 36415 | Insertion of needle into vein for collection of blood sample | 15.3K | $48.0K | $3.13 | 1.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 402 | $44.6K | $110.96 | 1.71x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.8K | $42.9K | $15.07 | 2.28x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 5.6K | $37.3K | $6.70 | 4.53x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 361 | $31.4K | $86.98 | 1.08x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 219 | $31.1K | $142.11 | 1.37x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 935 | $27.1K | $29.03 | 2.09x |
| 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 | 650 | $26.6K | $40.91 | 1.76x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 1.4K | $22.0K | $15.72 | 1.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 151 | $21.3K | $141.05 | 1.72x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. 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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