This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 240% 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 | $145.87 | $50.88 | 2.87x | $94.99 | $159.7K | 2.8K | 2.0K |
| 2015 | $135.98 | $47.30 | 2.87x | $88.68 | $238.4K | 4.0K | 2.7K |
| 2016 | $143.07 | $49.95 | 2.86x | $93.12 | $334.3K | 5.8K | 4.3K |
| 2017 | $144.56 | $51.81 | 2.79x | $92.75 | $339.8K | 6.4K | 5.3K |
| 2018 | $92.77 | $38.46 | 2.41x | $54.31 | $319.6K | 7.5K | 6.3K |
| 2019 | $79.93 | $33.70 | 2.37x | $46.23 | $456.3K | 12.4K | 9.7K |
| 2020 | $85.65 | $36.76 | 2.33x | $48.89 | $560.0K | 15.8K | 12.1K |
| 2021 | $82.89 | $33.58 | 2.47x | $49.31 | $568.0K | 16.0K | 12.5K |
| 2022 | $91.84 | $38.06 | 2.41x | $53.78 | $515.2K | 15.1K | 12.0K |
| 2023 | $88.21 | $35.98 | 2.45x | $52.23 | $543.6K | 15.4K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.7K | $1.5M | $82.41 | 3.02x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.4K | $806.8K | $126.10 | 2.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $228.9K | $53.93 | 3.12x |
| 82306 | Vitamin D-3 level | 3.7K | $111.7K | $30.10 | 2.03x |
| G0444 | Annual depression screening, 15 minutes | 5.6K | $103.7K | $18.68 | 2.07x |
| 90670 | Pneumococcal vaccine for injection into muscle | 530 | $99.4K | $187.54 | 1.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 943 | $97.5K | $103.40 | 3.55x |
| 90662 | Vaccine for influenza for injection into muscle | 1.9K | $97.1K | $50.56 | 1.86x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 4.0K | $68.6K | $17.07 | 2.03x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 4.9K | $66.3K | $13.62 | 2.03x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 315 | $63.6K | $201.77 | 2.69x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 460 | $60.2K | $130.93 | 2.79x |
| 80053 | Blood test, comprehensive group of blood chemicals | 4.9K | $52.3K | $10.76 | 2.03x |
| G0008 | Administration of influenza virus vaccine | 2.1K | $50.3K | $24.35 | 1.98x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 364 | $49.9K | $137.03 | 2.87x |
| 83036 | Hemoglobin A1C level | 4.6K | $45.8K | $9.86 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 703 | $43.1K | $61.36 | 4.02x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 247 | $42.1K | $170.43 | 2.08x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 393 | $38.6K | $98.12 | 1.60x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 4.0K | $31.8K | $7.90 | 2.03x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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 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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