This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 168% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 187% in 2019
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 | $184.77 | $104.96 | 1.76x | $79.81 | $345.9K | 3.9K | 2.1K |
| 2015 | $170.07 | $86.57 | 1.96x | $83.50 | $215.6K | 3.0K | 1.1K |
| 2016 | $177.49 | $91.20 | 1.95x | $86.29 | $191.7K | 2.6K | 989 |
| 2017 | $177.79 | $87.97 | 2.02x | $89.82 | $362.7K | 4.8K | 2.0K |
| 2018 | $176.94 | $85.51 | 2.07x | $91.43 | $465.8K | 6.4K | 3.0K |
| 2019 | $169.24 | $83.90 | 2.02x | $85.34 | $1.3M | 15.3K | 6.0K |
| 2020 | $169.38 | $84.27 | 2.01x | $85.11 | $965.0K | 11.4K | 3.8K |
| 2021 | $172.92 | $88.36 | 1.96x | $84.56 | $310.3K | 3.7K | 1.1K |
| 2022 | $183.71 | $81.76 | 2.25x | $101.95 | $373.9K | 4.8K | 1.3K |
| 2023 | $186.62 | $82.05 | 2.27x | $104.57 | $927.3K | 11.6K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 18.0K | $1.6M | $90.56 | 1.47x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 14.5K | $912.8K | $63.02 | 1.92x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 5.5K | $639.9K | $116.94 | 1.98x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 10.1K | $596.0K | $59.01 | 1.69x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 3.7K | $406.5K | $111.32 | 1.62x |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.2K | $297.2K | $91.93 | 2.20x |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7K | $167.6K | $62.16 | 3.22x |
| 99219 | Hospital observation care typically 50 minutes | 983 | $113.9K | $115.84 | 1.90x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 804 | $112.0K | $139.28 | 1.65x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 608 | $104.6K | $172.12 | 1.34x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 1.0K | $83.5K | $79.62 | 3.14x |
| 99217 | Hospital observation care discharge | 1.2K | $76.8K | $61.67 | 2.43x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 538 | $57.5K | $106.97 | 2.44x |
| 99225 | Subsequent observation care, typically 25 minutes per day | 857 | $53.6K | $62.55 | 2.39x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.5K | $50.1K | $33.92 | 3.54x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 535 | $39.7K | $74.25 | 2.02x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 335 | $37.0K | $110.41 | 1.81x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 271 | $17.7K | $65.42 | 1.38x |
| 99218 | Hospital observation care typically 30 minutes | 200 | $16.6K | $83.25 | 2.40x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 181 | $13.5K | $74.77 | 2.41x |
This provider submits charges 1.84 times higher than what Medicare actually pays.
A markup ratio of 1.84x means for every $100 Medicare pays, this provider initially charges $184. 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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