This provider's $12.8M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 199% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2015
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 | $185.76 | $82.33 | 2.26x | $103.43 | $708.9K | 7.8K | 2.7K |
| 2015 | $193.85 | $85.39 | 2.27x | $108.46 | $1.1M | 12.2K | 3.5K |
| 2016 | $211.00 | $82.81 | 2.55x | $128.19 | $879.5K | 10.0K | 3.1K |
| 2017 | $239.71 | $73.81 | 3.25x | $165.90 | $1.2M | 12.2K | 3.1K |
| 2018 | $231.78 | $71.34 | 3.25x | $160.44 | $1.5M | 15.8K | 4.0K |
| 2019 | $223.17 | $72.68 | 3.07x | $150.49 | $1.3M | 13.7K | 3.5K |
| 2020 | $233.68 | $80.42 | 2.91x | $153.26 | $1.2M | 11.5K | 3.1K |
| 2021 | $257.96 | $82.33 | 3.13x | $175.63 | $1.2M | 11.2K | 2.3K |
| 2022 | $305.53 | $82.97 | 3.68x | $222.56 | $1.5M | 13.5K | 2.4K |
| 2023 | $338.56 | $86.07 | 3.93x | $252.49 | $2.1M | 17.3K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 27.9K | $3.2M | $113.73 | 3.30x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 13.0K | $2.1M | $158.15 | 2.51x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 14.1K | $1.2M | $86.75 | 3.51x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 8.1K | $906.1K | $111.25 | 3.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.8K | $827.6K | $84.20 | 2.75x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 5.4K | $811.7K | $150.77 | 2.65x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 4.3K | $780.0K | $179.90 | 4.34x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 8.2K | $608.0K | $73.84 | 2.47x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.9K | $459.8K | $159.00 | 3.44x |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.5K | $310.5K | $88.19 | 4.34x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.1K | $287.6K | $136.94 | 3.36x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.6K | $258.5K | $30.02 | 5.00x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.7K | $146.5K | $86.97 | 3.33x |
| 99292 | Critical care delivery critically ill or injured patient | 1.6K | $140.6K | $90.17 | 3.14x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 979 | $121.2K | $123.85 | 1.60x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 621 | $90.3K | $145.43 | 2.41x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 858 | $74.0K | $86.27 | 2.10x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 1.5K | $73.1K | $49.43 | 5.06x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 400 | $69.5K | $173.87 | 1.14x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 295 | $58.5K | $198.43 | 2.44x |
This provider submits charges 3.17 times higher than what Medicare actually pays.
A markup ratio of 3.17x means for every $100 Medicare pays, this provider initially charges $317. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aaron Jeng, MD, MPH | San Gabriel, CA | $45.6M | ✓ Clear |
| Richard Park, M.D. | Granada Hills, CA | $34.7M | ⚠️ 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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