This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 84% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2022
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 | $118.95 | $59.59 | 2.00x | $59.36 | $513.7K | 8.1K | 3.5K |
| 2015 | $117.84 | $58.70 | 2.01x | $59.14 | $565.3K | 8.6K | 3.8K |
| 2016 | $117.53 | $58.21 | 2.02x | $59.32 | $491.0K | 7.8K | 3.7K |
| 2017 | $103.40 | $50.54 | 2.05x | $52.86 | $533.1K | 8.6K | 3.5K |
| 2018 | $99.85 | $53.33 | 1.87x | $46.52 | $485.0K | 7.8K | 3.5K |
| 2019 | $147.57 | $86.08 | 1.71x | $61.49 | $594.6K | 7.2K | 3.0K |
| 2020 | $204.59 | $88.08 | 2.32x | $116.51 | $896.4K | 10.4K | 3.6K |
| 2021 | $276.26 | $97.92 | 2.82x | $178.34 | $593.9K | 6.1K | 2.9K |
| 2022 | $246.86 | $82.39 | 3.00x | $164.47 | $963.7K | 11.0K | 4.6K |
| 2023 | $229.77 | $75.17 | 3.06x | $154.60 | $945.9K | 12.0K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 16.6K | $1.5M | $89.81 | 3.52x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 23.5K | $1.5M | $62.12 | 3.46x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 6.8K | $1.1M | $164.91 | 2.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.1K | $386.0K | $94.98 | 1.90x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.4K | $321.8K | $73.26 | 2.46x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 1.1K | $293.2K | $264.12 | 1.73x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 2.7K | $149.5K | $56.29 | 1.88x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 685 | $128.9K | $188.25 | 2.59x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $123.9K | $113.28 | 2.06x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 3.2K | $112.4K | $35.47 | 2.63x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 752 | $104.2K | $138.58 | 1.51x |
| 90935 | Hemodialysis procedure with one physician evaluation | 1.5K | $92.8K | $61.89 | 2.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $83.3K | $62.93 | 2.21x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 613 | $82.7K | $134.92 | 2.30x |
| 99238 | Hospital discharge day management, 30 minutes or less | 965 | $59.3K | $61.42 | 1.76x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 790 | $56.4K | $71.44 | 1.88x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 444 | $40.6K | $91.38 | 2.19x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 308 | $34.7K | $112.58 | 2.22x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 706 | $31.9K | $45.22 | 2.21x |
| 99239 | Hospital discharge day management, more than 30 minutes | 329 | $30.2K | $91.77 | 4.64x |
This provider submits charges 2.86 times higher than what Medicare actually pays.
A markup ratio of 2.86x means for every $100 Medicare pays, this provider initially charges $286. 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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