This provider averages 70 services per working day
Based on 176.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 70 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% 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 | $133.88 | $56.29 | 2.38x | $77.59 | $557.4K | 13.3K | 5.4K |
| 2015 | $134.99 | $59.91 | 2.25x | $75.08 | $874.6K | 21.4K | 7.6K |
| 2016 | $139.81 | $62.04 | 2.25x | $77.77 | $758.3K | 20.3K | 7.0K |
| 2017 | $136.45 | $56.80 | 2.40x | $79.65 | $732.0K | 18.6K | 6.5K |
| 2018 | $159.66 | $68.50 | 2.33x | $91.16 | $743.3K | 19.3K | 6.5K |
| 2019 | $146.33 | $61.87 | 2.37x | $84.46 | $694.2K | 17.7K | 6.4K |
| 2020 | $153.27 | $62.34 | 2.46x | $90.93 | $623.6K | 16.9K | 5.3K |
| 2021 | $159.72 | $70.33 | 2.27x | $89.39 | $712.8K | 16.6K | 5.4K |
| 2022 | $160.67 | $67.95 | 2.36x | $92.72 | $650.2K | 16.1K | 5.6K |
| 2023 | $162.58 | $68.81 | 2.36x | $93.77 | $696.8K | 15.9K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 49.3K | $3.0M | $61.81 | 1.99x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $753.3K | $91.73 | 1.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.3K | $592.0K | $178.20 | 2.81x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.0K | $491.5K | $164.43 | 2.43x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 30.3K | $488.4K | $16.10 | 2.17x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.5K | $306.0K | $201.98 | 2.23x |
| 76700 | Ultrasound of abdomen | 1.2K | $127.0K | $102.17 | 2.69x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 1.8K | $116.1K | $65.92 | 3.03x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.3K | $113.0K | $49.93 | 2.80x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 890 | $109.4K | $122.97 | 1.87x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 596 | $97.6K | $163.82 | 2.32x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 2.1K | $93.2K | $44.26 | 2.26x |
| G0008 | Administration of influenza virus vaccine | 3.3K | $81.3K | $24.36 | 1.44x |
| 76536 | Ultrasound of head and neck | 516 | $49.6K | $96.03 | 2.40x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.8K | $45.2K | $11.91 | 4.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 368 | $44.6K | $121.10 | 2.06x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 185 | $40.6K | $219.42 | 2.19x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 219 | $38.8K | $177.32 | 1.35x |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 11.0K | $35.0K | $3.19 | 4.71x |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 18.1K | $32.5K | $1.80 | 5.56x |
This provider submits charges 2.21 times higher than what Medicare actually pays.
A markup ratio of 2.21x means for every $100 Medicare pays, this provider initially charges $221. 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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