This provider averages 67 services per working day
Based on 167.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.4M in total Medicare payments ranks in the 98th percentile of Rheumatology providers nationally.
Averaging 67 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2018
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 | $97.55 | $42.33 | 2.30x | $55.22 | $972.0K | 19.6K | 10.6K |
| 2015 | $103.12 | $43.52 | 2.37x | $59.60 | $739.2K | 14.8K | 8.5K |
| 2016 | $125.71 | $54.05 | 2.33x | $71.66 | $465.4K | 9.2K | 4.4K |
| 2017 | $115.62 | $51.17 | 2.26x | $64.45 | $569.0K | 11.5K | 5.9K |
| 2018 | $116.08 | $53.87 | 2.15x | $62.21 | $895.2K | 18.4K | 9.2K |
| 2019 | $119.32 | $50.43 | 2.37x | $68.89 | $993.8K | 20.6K | 10.0K |
| 2020 | $107.57 | $46.83 | 2.30x | $60.74 | $824.3K | 17.1K | 8.8K |
| 2021 | $97.47 | $44.29 | 2.20x | $53.18 | $893.2K | 17.0K | 9.0K |
| 2022 | $106.77 | $47.50 | 2.25x | $59.27 | $962.2K | 18.7K | 9.9K |
| 2023 | $128.06 | $53.94 | 2.37x | $74.12 | $1.1M | 20.6K | 10.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 31.3K | $2.8M | $90.64 | 1.93x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 27.1K | $1.4M | $50.71 | 6.50x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 13.0K | $1.0M | $79.20 | 1.68x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 21.6K | $703.8K | $32.65 | 3.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.3K | $661.7K | $125.94 | 2.12x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 4.2K | $258.9K | $62.11 | 1.98x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 1.7K | $189.0K | $114.13 | 2.11x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $185.2K | $57.92 | 1.99x |
| 20606 | Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance | 2.6K | $179.9K | $69.75 | 1.83x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 4.2K | $146.3K | $34.62 | 2.62x |
| 64418 | Injection of anesthetic agent, collar bone nerve | 1.4K | $121.3K | $85.79 | 2.74x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.2K | $108.9K | $48.70 | 2.49x |
| 76881 | Ultrasound of leg or arm | 1.2K | $107.0K | $89.04 | 2.25x |
| J0897 | Injection, denosumab, 1 mg | 3.3K | $53.1K | $15.95 | 1.64x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 1.1K | $42.5K | $37.51 | 2.28x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 1.3K | $42.2K | $31.59 | 1.94x |
| 73562 | X-ray of knee, 3 views | 1.1K | $36.4K | $32.01 | 2.05x |
| 73030 | X-ray of shoulder, minimum of 2 views | 1.2K | $32.9K | $26.98 | 2.07x |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 27.0K | $32.2K | $1.19 | 12.56x |
| 20604 | Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance | 550 | $30.2K | $54.85 | 1.94x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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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