This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 78% from 2014 to 2023.
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 | $104.76 | $68.92 | 1.52x | $35.84 | $465.0K | 6.2K | 3.5K |
| 2015 | $109.26 | $73.28 | 1.49x | $35.98 | $462.5K | 6.1K | 3.6K |
| 2016 | $110.48 | $72.26 | 1.53x | $38.22 | $453.5K | 5.5K | 3.5K |
| 2017 | $138.28 | $90.33 | 1.53x | $47.95 | $388.3K | 4.4K | 2.5K |
| 2018 | $135.95 | $99.86 | 1.36x | $36.09 | $577.8K | 6.7K | 3.3K |
| 2019 | $118.06 | $90.64 | 1.30x | $27.42 | $742.6K | 8.4K | 3.5K |
| 2020 | $135.20 | $100.90 | 1.34x | $34.30 | $756.9K | 8.2K | 3.3K |
| 2021 | $125.50 | $95.22 | 1.32x | $30.28 | $708.4K | 8.5K | 3.1K |
| 2022 | $124.63 | $90.91 | 1.37x | $33.72 | $903.4K | 9.9K | 3.6K |
| 2023 | $160.38 | $87.02 | 1.84x | $73.36 | $829.4K | 10.2K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 19.1K | $1.7M | $89.30 | 1.38x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 22.1K | $1.4M | $62.57 | 1.42x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 7.1K | $1.1M | $161.22 | 1.48x |
| 99220 | Hospital observation care typically 70 minutes per day | 2.7K | $408.3K | $150.79 | 1.41x |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.7K | $337.7K | $91.95 | 1.36x |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3K | $214.2K | $64.17 | 1.40x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.1K | $183.6K | $58.30 | 1.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.6K | $151.5K | $57.44 | 1.81x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 837 | $118.4K | $141.44 | 1.39x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 964 | $75.5K | $78.30 | 1.40x |
| 99217 | Hospital observation care discharge | 1.1K | $68.5K | $61.76 | 1.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 805 | $65.8K | $81.79 | 1.64x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 441 | $64.4K | $145.93 | 1.31x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 443 | $46.9K | $105.84 | 1.53x |
| 99497 | Advance care planning, first 30 minutes | 690 | $43.5K | $63.09 | 1.78x |
| 90670 | Pneumococcal vaccine for injection into muscle | 223 | $37.9K | $170.10 | 1.06x |
| 99225 | Subsequent observation care, typically 25 minutes per day | 517 | $31.8K | $61.43 | 1.37x |
| 99219 | Hospital observation care typically 50 minutes | 286 | $30.9K | $108.08 | 1.43x |
| 99226 | Subsequent observation care, typically 35 minutes per day | 230 | $20.2K | $87.74 | 1.39x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 289 | $18.2K | $63.04 | 1.42x |
This provider submits charges 1.43 times higher than what Medicare actually pays.
A markup ratio of 1.43x means for every $100 Medicare pays, this provider initially charges $143. 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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