This provider's $7.0M 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.
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 | $137.81 | $83.61 | 1.65x | $54.20 | $586.4K | 8.7K | 3.3K |
| 2015 | $142.77 | $85.44 | 1.67x | $57.33 | $592.0K | 9.0K | 3.4K |
| 2016 | $148.68 | $86.96 | 1.71x | $61.72 | $585.7K | 8.5K | 3.5K |
| 2017 | $146.51 | $82.30 | 1.78x | $64.21 | $708.9K | 11.1K | 4.1K |
| 2018 | $143.40 | $83.57 | 1.72x | $59.83 | $619.7K | 9.0K | 3.8K |
| 2019 | $152.57 | $86.82 | 1.76x | $65.75 | $753.4K | 9.7K | 4.1K |
| 2020 | $143.86 | $90.04 | 1.60x | $53.82 | $922.2K | 11.2K | 4.6K |
| 2021 | $139.80 | $86.53 | 1.62x | $53.27 | $825.3K | 10.7K | 4.6K |
| 2022 | $132.28 | $74.44 | 1.78x | $57.84 | $768.0K | 10.2K | 4.5K |
| 2023 | $146.89 | $89.17 | 1.65x | $57.72 | $671.7K | 8.4K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 21.7K | $1.1M | $52.55 | 2.09x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 12.9K | $947.7K | $73.49 | 1.63x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 7.3K | $763.9K | $104.61 | 1.55x |
| G0182 | Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien | 8.8K | $758.6K | $86.15 | 2.13x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 5.9K | $431.2K | $73.23 | 2.12x |
| 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 | 4.7K | $404.4K | $86.61 | 1.45x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.8K | $369.6K | $132.75 | 1.38x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.7K | $273.6K | $159.15 | 1.90x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 3.7K | $175.8K | $47.35 | 1.48x |
| 99348 | Established patient home visit, typically 25 minutes | 2.9K | $175.1K | $60.45 | 1.49x |
| 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 | 3.6K | $158.6K | $43.54 | 1.77x |
| 99349 | Established patient home visit, typically 40 minutes | 1.5K | $149.8K | $97.05 | 1.44x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.3K | $149.3K | $65.55 | 2.29x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 4.2K | $144.4K | $34.53 | 2.03x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 1.2K | $123.0K | $105.87 | 1.89x |
| 69210 | Removal of impact ear wax, one ear | 2.9K | $108.6K | $37.58 | 2.08x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 1.6K | $93.4K | $58.56 | 1.45x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 588 | $89.9K | $152.81 | 1.44x |
| 99327 | New patient assisted living visit, typically 60 minutes | 509 | $71.2K | $139.95 | 1.47x |
| 99328 | New patient assisted living visit, typically 75 minutes | 357 | $59.9K | $167.73 | 1.52x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. 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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