This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 4404% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4404% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $282.85 | $85.52 | 3.31x | $197.33 | $88.7K | 1.0K | 9 |
| 2023 | $623.71 | $396.22 | 1.57x | $227.49 | $4.0M | 10.1K | 30 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.2K | $1.3M | $1.2K | 1.28x |
| Q4262 | Dual layer impax membrane, per square centimeter | 1.2K | $1.2M | $1.0K | 1.46x |
| Q4250 | Amnioamp-mp, per square centimeter | 656 | $846.0K | $1.3K | 1.28x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 2.3K | $196.8K | $84.98 | 2.59x |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 484 | $60.4K | $124.74 | 2.72x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 632 | $59.4K | $93.92 | 4.40x |
| G0181 | Physician or allowed practitioner 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 or allow | 646 | $54.9K | $84.99 | 2.16x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 826 | $50.1K | $60.66 | 2.70x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 298 | $45.4K | $152.24 | 2.44x |
| 99497 | Advance care planning, first 30 minutes | 665 | $45.2K | $67.99 | 2.98x |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 174 | $28.4K | $162.96 | 2.12x |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 161 | $23.2K | $144.38 | 2.99x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 162 | $20.7K | $127.77 | 2.54x |
| 99239 | Hospital discharge day management, more than 30 minutes | 221 | $20.1K | $90.86 | 5.15x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 129 | $18.6K | $143.94 | 5.46x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 231 | $14.4K | $62.54 | 3.96x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 54 | $9.5K | $176.00 | 1.44x |
| G0180 | Physician or allowed practitioner 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 and | 189 | $8.2K | $43.23 | 2.36x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 132 | $8.2K | $61.86 | 2.67x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 71 | $7.7K | $108.85 | 2.86x |
This provider submits charges 1.61 times higher than what Medicare actually pays.
A markup ratio of 1.61x means for every $100 Medicare pays, this provider initially charges $161. 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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