⚠️ This provider averages 399 services per working day — physically unusual for an individual practitioner
Based on 697.9K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.1M in total Medicare payments ranks in the 97th percentile of Rheumatology providers nationally.
Averaging 399 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 9516% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 7983% in 2020
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 | $131.83 | $43.72 | 3.02x | $88.11 | $37.8K | 864 | 4 |
| 2016 | $99.76 | $38.81 | 2.57x | $60.95 | $815.00 | 21 | 1 |
| 2019 | $338.56 | $107.30 | 3.16x | $231.26 | $2.9K | 27 | 2 |
| 2020 | $46.44 | $17.58 | 2.64x | $28.86 | $234.2K | 13.3K | 15 |
| 2021 | $22.57 | $9.97 | 2.26x | $12.60 | $489.9K | 49.1K | 21 |
| 2022 | $19.04 | $8.59 | 2.22x | $10.45 | $1.7M | 194.1K | 23 |
| 2023 | $19.12 | $8.25 | 2.32x | $10.87 | $3.6M | 440.5K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 48.9K | $1.7M | $34.22 | 2.15x |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 398.4K | $1.7M | $4.17 | 2.61x |
| J3262 | Injection, tocilizumab, 1 mg | 136.6K | $608.8K | $4.46 | 1.50x |
| J0897 | Injection, denosumab, 1 mg | 22.6K | $397.8K | $17.59 | 1.57x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 47.7K | $369.2K | $7.74 | 1.55x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.8K | $332.6K | $88.53 | 2.94x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 23.1K | $255.1K | $11.03 | 2.18x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 2.7K | $150.9K | $56.36 | 3.35x |
| J9312 | Injection, rituximab, 10 mg | 2.4K | $150.2K | $63.36 | 1.88x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.3K | $128.8K | $100.80 | 3.42x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.1K | $122.1K | $114.71 | 3.52x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 3.3K | $89.1K | $26.74 | 2.72x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.0K | $51.9K | $51.49 | 2.93x |
| 20610 | Aspiration and/or injection of fluid from large joint | 668 | $30.7K | $45.90 | 3.62x |
| 96372 | Injection of drug or substance under skin or into muscle | 1.2K | $12.2K | $10.32 | 6.39x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 263 | $5.8K | $21.97 | 5.01x |
| 20552 | Injection of trigger points, 1-2 muscles | 115 | $4.5K | $39.46 | 3.93x |
| 20550 | Injection into tendon or ligament | 68 | $2.7K | $39.51 | 3.93x |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | 833 | $2.5K | $3.05 | 6.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 15 | $2.5K | $165.17 | 3.08x |
This provider submits charges 2.3 times higher than what Medicare actually pays.
A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. 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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