This provider's $5.7M 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 | $85.96 | $45.50 | 1.89x | $40.46 | $667.2K | 12.1K | 3.9K |
| 2015 | $97.85 | $52.01 | 1.88x | $45.84 | $611.1K | 10.9K | 3.7K |
| 2016 | $95.37 | $48.65 | 1.96x | $46.72 | $577.2K | 10.5K | 3.4K |
| 2017 | $94.33 | $48.30 | 1.95x | $46.03 | $525.2K | 9.8K | 3.4K |
| 2018 | $101.98 | $54.28 | 1.88x | $47.70 | $570.8K | 9.5K | 3.6K |
| 2019 | $135.78 | $57.88 | 2.35x | $77.90 | $511.4K | 8.4K | 3.1K |
| 2020 | $144.13 | $61.30 | 2.35x | $82.83 | $542.4K | 8.5K | 3.1K |
| 2021 | $156.13 | $70.91 | 2.20x | $85.22 | $663.8K | 10.1K | 3.5K |
| 2022 | $160.54 | $72.68 | 2.21x | $87.86 | $538.3K | 8.6K | 3.1K |
| 2023 | $166.27 | $79.52 | 2.09x | $86.75 | $534.1K | 7.9K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 48.9K | $2.8M | $57.58 | 2.25x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 9.3K | $996.6K | $106.77 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.9K | $699.3K | $54.13 | 2.26x |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.5K | $493.1K | $57.73 | 2.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $98.5K | $79.85 | 2.26x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 934 | $77.6K | $83.13 | 2.43x |
| 99218 | Hospital observation care typically 30 minutes | 648 | $50.7K | $78.18 | 2.09x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 360 | $48.7K | $135.27 | 2.17x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 361 | $45.3K | $125.50 | 1.90x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 248 | $39.6K | $159.86 | 1.82x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 219 | $35.6K | $162.66 | 1.64x |
| 90670 | Pneumococcal vaccine for injection into muscle | 158 | $32.7K | $207.05 | 1.47x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.0K | $30.9K | $30.87 | 1.95x |
| 90662 | Vaccine for influenza for injection into muscle | 501 | $28.0K | $55.89 | 1.35x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 1.6K | $23.7K | $14.50 | 2.85x |
| 99217 | Hospital observation care discharge | 409 | $23.2K | $56.64 | 2.20x |
| 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 | 541 | $22.4K | $41.41 | 2.24x |
| G0008 | Administration of influenza virus vaccine | 906 | $20.3K | $22.36 | 1.59x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 80 | $17.4K | $217.11 | 2.13x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 251 | $13.8K | $54.88 | 2.14x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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