This provider averages 54 services per working day
Based on 134.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.1M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 208% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% 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 | $219.22 | $93.92 | 2.33x | $125.30 | $670.6K | 8.4K | 2.0K |
| 2015 | $221.63 | $98.48 | 2.25x | $123.15 | $643.2K | 7.6K | 2.1K |
| 2016 | $212.08 | $87.35 | 2.43x | $124.73 | $612.1K | 8.6K | 2.4K |
| 2017 | $190.64 | $77.75 | 2.45x | $112.89 | $551.9K | 8.3K | 2.2K |
| 2018 | $190.91 | $75.79 | 2.52x | $115.12 | $614.7K | 9.2K | 2.3K |
| 2019 | $204.73 | $105.45 | 1.94x | $99.28 | $925.3K | 11.1K | 4.5K |
| 2020 | $183.19 | $99.63 | 1.84x | $83.56 | $1.5M | 17.0K | 6.7K |
| 2021 | $171.21 | $90.41 | 1.89x | $80.80 | $1.6M | 18.1K | 7.2K |
| 2022 | $206.03 | $111.37 | 1.85x | $94.66 | $2.0M | 21.7K | 8.3K |
| 2023 | $185.55 | $97.13 | 1.91x | $88.42 | $2.1M | 24.0K | 9.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 37.7K | $2.3M | $60.75 | 2.47x |
| 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 | 18.8K | $1.7M | $90.95 | 1.77x |
| 99350 | Established patient home visit, typically 60 minutes | 9.6K | $1.5M | $152.51 | 1.64x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 15.1K | $815.5K | $54.06 | 2.78x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 5.0K | $811.6K | $162.45 | 2.15x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 9.4K | $687.3K | $72.85 | 2.65x |
| 99345 | New patient home visit, typically 75 minutes | 3.5K | $624.8K | $179.69 | 1.62x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.0K | $407.0K | $135.67 | 1.91x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 3.0K | $323.5K | $107.95 | 2.41x |
| 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 imple | 6.5K | $291.7K | $44.81 | 2.52x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.4K | $266.5K | $77.42 | 1.84x |
| 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 | 6.0K | $215.6K | $35.65 | 2.08x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1K | $201.3K | $185.20 | 1.30x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.3K | $186.6K | $139.38 | 1.29x |
| 99348 | Established patient home visit, typically 25 minutes | 2.9K | $181.5K | $62.30 | 2.83x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 727 | $134.0K | $184.33 | 2.17x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.8K | $112.5K | $62.55 | 3.20x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 923 | $83.2K | $90.18 | 2.22x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.0K | $78.0K | $38.51 | 2.60x |
| 99326 | New patient assisted living visit, typically 45 minutes | 572 | $62.6K | $109.40 | 1.83x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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 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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