This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 144% 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 | $105.20 | $58.21 | 1.81x | $46.99 | $328.2K | 7.1K | 3.7K |
| 2015 | $94.81 | $53.59 | 1.77x | $41.22 | $343.5K | 9.2K | 5.8K |
| 2016 | $99.13 | $56.73 | 1.75x | $42.40 | $441.4K | 12.9K | 7.8K |
| 2017 | $123.34 | $69.13 | 1.78x | $54.21 | $499.0K | 10.2K | 6.6K |
| 2018 | $126.25 | $70.05 | 1.80x | $56.20 | $403.0K | 8.1K | 5.3K |
| 2019 | $124.14 | $76.17 | 1.63x | $47.97 | $495.0K | 9.0K | 6.1K |
| 2020 | $131.65 | $77.75 | 1.69x | $53.90 | $478.5K | 8.3K | 5.7K |
| 2021 | $124.10 | $78.57 | 1.58x | $45.53 | $498.4K | 8.5K | 6.3K |
| 2022 | $135.32 | $77.78 | 1.74x | $57.54 | $615.8K | 9.4K | 6.6K |
| 2023 | $122.27 | $74.97 | 1.63x | $47.30 | $800.7K | 12.2K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.9K | $997.0K | $91.34 | 1.53x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.7K | $702.7K | $122.64 | 1.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.3K | $593.3K | $52.66 | 1.75x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.9K | $350.4K | $59.09 | 1.69x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 975 | $193.6K | $198.60 | 1.29x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 5.4K | $181.3K | $33.40 | 1.50x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $160.0K | $110.50 | 1.84x |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7K | $159.7K | $59.18 | 2.15x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.5K | $136.5K | $53.89 | 1.48x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 902 | $122.2K | $135.45 | 1.33x |
| 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 | 2.5K | $103.5K | $42.04 | 2.14x |
| G0444 | Annual depression screening, 15 minutes | 5.3K | $96.5K | $18.33 | 1.36x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 4.3K | $81.1K | $18.70 | 1.03x |
| 90662 | Vaccine for influenza for injection into muscle | 1.6K | $74.6K | $47.61 | 1.04x |
| G0179 | Physician re-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 im | 2.3K | $74.4K | $32.17 | 2.80x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 461 | $65.6K | $142.40 | 1.76x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 927 | $65.5K | $70.67 | 1.91x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 4.0K | $61.2K | $15.31 | 2.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 381 | $60.2K | $158.11 | 1.78x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 475 | $59.3K | $124.83 | 1.60x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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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