This provider's $4.5M 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.
Notable: Payments increased 77% in 2016
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 | $181.10 | $85.24 | 2.12x | $95.86 | $397.2K | 3.9K | 3.2K |
| 2015 | $157.77 | $85.11 | 1.85x | $72.66 | $263.4K | 2.7K | 2.1K |
| 2016 | $154.45 | $80.30 | 1.92x | $74.15 | $466.0K | 4.4K | 2.8K |
| 2017 | $157.97 | $81.55 | 1.94x | $76.42 | $577.7K | 5.4K | 3.6K |
| 2018 | $148.57 | $82.25 | 1.81x | $66.32 | $686.1K | 6.6K | 4.8K |
| 2019 | $152.86 | $86.06 | 1.78x | $66.80 | $521.5K | 5.3K | 3.9K |
| 2020 | $177.64 | $99.38 | 1.79x | $78.26 | $266.1K | 2.7K | 1.8K |
| 2021 | $201.00 | $97.07 | 2.07x | $103.93 | $460.6K | 4.9K | 2.7K |
| 2022 | $162.18 | $86.90 | 1.87x | $75.28 | $542.4K | 6.3K | 3.7K |
| 2023 | $193.94 | $92.77 | 2.09x | $101.17 | $367.2K | 4.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $680.7K | $89.31 | 1.71x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 5.0K | $573.6K | $114.86 | 1.75x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.2K | $391.7K | $181.28 | 1.43x |
| 76881 | Ultrasound of leg or arm | 4.3K | $362.7K | $84.81 | 2.02x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.0K | $323.5K | $163.08 | 1.53x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $317.1K | $165.24 | 1.82x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 3.2K | $220.6K | $68.17 | 2.57x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.2K | $213.1K | $171.44 | 1.72x |
| 93923 | Ultrasound study of arteries of both arms and legs | 2.2K | $206.7K | $94.13 | 2.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $193.8K | $123.34 | 1.70x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 816 | $167.5K | $205.23 | 1.47x |
| 76700 | Ultrasound of abdomen | 1.1K | $111.2K | $100.09 | 2.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $104.0K | $73.13 | 1.49x |
| 76770 | Ultrasound behind abdominal cavity | 979 | $79.1K | $80.76 | 2.49x |
| 31231 | Diagnostic examination of nasal passages using an endoscope | 345 | $57.9K | $167.79 | 1.79x |
| 93980 | Ultrasound scan of penile arterial inflow and venous outflow | 605 | $57.5K | $95.12 | 2.10x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 683 | $54.9K | $80.43 | 2.76x |
| 76873 | Ultrasound of prostate | 270 | $39.2K | $145.25 | 1.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 451 | $39.2K | $86.95 | 1.66x |
| 76856 | Ultrasound of pelvis | 380 | $35.5K | $93.46 | 2.23x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. 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 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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