This provider's $3.3M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 163% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $180.10 | $123.63 | 1.46x | $56.47 | $185.5K | 1.4K | 1.4K |
| 2017 | $157.76 | $113.38 | 1.39x | $44.38 | $488.6K | 5.1K | 4.0K |
| 2018 | $131.54 | $89.38 | 1.47x | $42.16 | $489.7K | 7.6K | 5.2K |
| 2019 | $127.78 | $87.93 | 1.45x | $39.85 | $776.7K | 9.8K | 7.5K |
| 2020 | $140.90 | $101.16 | 1.39x | $39.74 | $481.5K | 6.2K | 4.7K |
| 2021 | $159.86 | $115.54 | 1.38x | $44.32 | $511.0K | 6.4K | 4.5K |
| 2022 | $151.60 | $107.84 | 1.41x | $43.76 | $213.3K | 3.6K | 2.4K |
| 2023 | $67.11 | $46.15 | 1.45x | $20.96 | $145.4K | 3.0K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.8K | $813.7K | $68.84 | 1.36x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $275.9K | $140.06 | 1.32x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.3K | $267.9K | $212.93 | 1.32x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.8K | $257.8K | $144.68 | 1.61x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.0K | $239.1K | $237.17 | 1.33x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $225.2K | $179.01 | 1.33x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 956 | $179.9K | $188.19 | 1.41x |
| 76881 | Ultrasound of leg or arm | 1.7K | $120.5K | $72.13 | 2.01x |
| 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 implem | 2.7K | $119.3K | $43.41 | 1.38x |
| 76700 | Ultrasound of abdomen | 1.0K | $112.2K | $110.48 | 1.49x |
| 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 imp | 3.1K | $104.2K | $34.07 | 1.61x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 1.9K | $101.3K | $53.16 | 1.41x |
| 93923 | Ultrasound study of arteries of both arms and legs | 802 | $98.1K | $122.37 | 1.35x |
| 76536 | Ultrasound of head and neck | 924 | $97.4K | $105.41 | 1.38x |
| 93930 | Ultrasound study of arteries and arterial grafts of both arms | 481 | $88.3K | $183.62 | 1.30x |
| 76770 | Ultrasound behind abdominal cavity | 447 | $44.7K | $100.04 | 1.55x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 232 | $21.6K | $93.23 | 1.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 202 | $18.8K | $92.89 | 1.29x |
| 36415 | Insertion of needle into vein for collection of blood sample | 5.4K | $16.7K | $3.09 | 1.30x |
| 95913 | Nerve transmission studies, 13 or more studies | 57 | $14.9K | $261.78 | 1.53x |
This provider submits charges 1.42 times higher than what Medicare actually pays.
A markup ratio of 1.42x means for every $100 Medicare pays, this provider initially charges $142. 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 General Practice providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jack Azad, M.D. | Los Angeles, CA | $34.5M | ⚠️ Flagged |
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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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