This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
70% of their billing comes from a single procedure code (99231 — Subsequent hospital inpatient care, typically 15 minutes per day).
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 | $331.60 | $110.18 | 3.01x | $221.42 | $503.6K | 11.1K | 1.4K |
| 2015 | $358.14 | $120.51 | 2.97x | $237.63 | $534.0K | 12.9K | 1.3K |
| 2016 | $363.67 | $107.45 | 3.38x | $256.22 | $435.1K | 10.7K | 987 |
| 2017 | $404.62 | $110.10 | 3.68x | $294.52 | $465.9K | 11.5K | 1.1K |
| 2018 | $408.54 | $109.33 | 3.74x | $299.21 | $425.5K | 10.2K | 1.1K |
| 2019 | $378.68 | $108.77 | 3.48x | $269.91 | $450.3K | 10.4K | 1.1K |
| 2020 | $379.64 | $110.41 | 3.44x | $269.23 | $415.7K | 9.8K | 980 |
| 2021 | $378.80 | $106.73 | 3.55x | $272.07 | $324.0K | 7.9K | 840 |
| 2022 | $368.02 | $103.83 | 3.54x | $264.19 | $356.2K | 9.1K | 908 |
| 2023 | $372.23 | $104.10 | 3.58x | $268.13 | $483.4K | 10.0K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 91.7K | $3.1M | $33.64 | 4.04x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.8K | $615.4K | $163.47 | 1.98x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.7K | $350.1K | $61.50 | 1.78x |
| 43246 | Insertion of stomach tube using an endoscope | 919 | $161.4K | $175.63 | 4.83x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 948 | $107.3K | $113.13 | 1.77x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 344 | $35.1K | $101.95 | 5.89x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 103 | $17.5K | $170.12 | 5.07x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 70 | $6.0K | $85.71 | 1.50x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 67 | $5.8K | $86.96 | 1.81x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 37 | $4.3K | $115.96 | 1.29x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 13 | $2.4K | $186.93 | 1.50x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 17 | $1.9K | $109.79 | 3.19x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 25 | $1.9K | $74.07 | 1.56x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 16 | $1.2K | $73.71 | 2.08x |
This provider submits charges 3.55 times higher than what Medicare actually pays.
A markup ratio of 3.55x means for every $100 Medicare pays, this provider initially charges $355. 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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