This provider's $4.7M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 59% from 2014 to 2023.
83% of their billing comes from a single procedure code (99213 — Established patient office or other outpatient visit, typically 15 minutes).
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 | $98.18 | $45.84 | 2.14x | $52.34 | $335.7K | 6.7K | 1.6K |
| 2015 | $99.64 | $49.07 | 2.03x | $50.57 | $364.5K | 6.9K | 1.7K |
| 2016 | $111.93 | $57.75 | 1.94x | $54.18 | $386.7K | 7.4K | 2.0K |
| 2017 | $99.62 | $49.62 | 2.01x | $50.00 | $381.0K | 7.6K | 2.0K |
| 2018 | $97.06 | $47.86 | 2.03x | $49.20 | $409.9K | 7.8K | 1.9K |
| 2019 | $108.06 | $59.48 | 1.82x | $48.58 | $506.0K | 9.0K | 2.2K |
| 2020 | $103.38 | $54.32 | 1.90x | $49.06 | $589.3K | 10.1K | 2.3K |
| 2021 | $103.27 | $55.53 | 1.86x | $47.74 | $583.2K | 9.0K | 2.1K |
| 2022 | $114.56 | $62.86 | 1.82x | $51.70 | $570.5K | 8.6K | 2.2K |
| 2023 | $122.05 | $65.12 | 1.87x | $56.93 | $535.3K | 8.2K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 60.8K | $3.9M | $63.97 | 1.49x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.9K | $302.8K | $62.00 | 2.02x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 850 | $144.8K | $170.33 | 1.47x |
| 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 | 1.8K | $81.9K | $45.27 | 2.98x |
| 99238 | Hospital discharge day management, 30 minutes or less | 804 | $50.4K | $62.75 | 2.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 340 | $33.3K | $98.09 | 1.27x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 910 | $30.6K | $33.67 | 1.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 319 | $25.2K | $78.97 | 1.96x |
| 36415 | Insertion of needle into vein for collection of blood sample | 6.3K | $22.3K | $3.57 | 4.21x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 468 | $19.6K | $41.80 | 2.39x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 461 | $15.1K | $32.70 | 3.06x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 820 | $11.3K | $13.81 | 4.71x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 48 | $8.9K | $186.09 | 1.34x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 46 | $6.1K | $133.57 | 1.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 60 | $5.7K | $94.96 | 1.52x |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 1.3K | $4.2K | $3.20 | 4.68x |
| 69210 | Removal of impact ear wax, one ear | 83 | $3.5K | $41.75 | 2.26x |
| 82947 | Blood glucose (sugar) level | 761 | $3.3K | $4.40 | 5.69x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 85 | $1.8K | $20.66 | 1.69x |
| 96130 | Psychological testing evaluation by qualified health care professional, first 60 minutes | 11 | $1.1K | $100.69 | 1.49x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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 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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