This provider averages 103 services per working day
Based on 256.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 103 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 218% 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 | $100.59 | $59.20 | 1.70x | $41.39 | $645.3K | 18.4K | 8.5K |
| 2015 | $102.96 | $61.98 | 1.66x | $40.98 | $766.2K | 19.8K | 8.4K |
| 2016 | $95.25 | $54.13 | 1.76x | $41.12 | $886.0K | 23.1K | 10.9K |
| 2017 | $127.02 | $61.07 | 2.08x | $65.95 | $790.0K | 16.0K | 7.3K |
| 2018 | $142.22 | $69.77 | 2.04x | $72.45 | $868.2K | 15.0K | 7.2K |
| 2019 | $119.24 | $57.69 | 2.07x | $61.55 | $1.3M | 29.2K | 15.5K |
| 2020 | $115.62 | $56.30 | 2.05x | $59.32 | $1.3M | 29.4K | 17.3K |
| 2021 | $114.70 | $56.50 | 2.03x | $58.20 | $1.6M | 27.3K | 14.4K |
| 2022 | $124.79 | $60.20 | 2.07x | $64.59 | $2.0M | 44.8K | 19.9K |
| 2023 | $117.63 | $54.67 | 2.15x | $62.96 | $2.1M | 34.0K | 18.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99337 | Established patient assisted living visit, typically 60 minutes | 13.1K | $2.0M | $155.52 | 2.03x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 18.5K | $2.0M | $108.74 | 1.97x |
| 99350 | Established patient home visit, typically 60 minutes | 3.9K | $573.2K | $146.60 | 2.70x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 5.4K | $549.1K | $101.82 | 1.66x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 9.9K | $448.8K | $45.47 | 1.76x |
| 99349 | Established patient home visit, typically 40 minutes | 3.6K | $364.8K | $101.69 | 2.72x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 6.6K | $337.2K | $50.97 | 2.14x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 18.6K | $310.0K | $16.71 | 2.61x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 4.2K | $293.5K | $70.30 | 1.92x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 6.8K | $292.6K | $43.32 | 1.85x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.3K | $282.6K | $222.53 | 1.77x |
| 69210 | Removal of impact ear wax, one ear | 7.0K | $268.6K | $38.35 | 2.14x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 3.5K | $264.2K | $76.04 | 1.97x |
| 82306 | Vitamin D-3 level | 6.7K | $236.5K | $35.20 | 1.96x |
| 99328 | New patient assisted living visit, typically 75 minutes | 1.3K | $227.9K | $169.07 | 2.13x |
| 99489 | Complex chronic care management services each additional 30 minutes clinical staff time | 4.1K | $220.7K | $53.35 | 1.62x |
| 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 | 1.8K | $162.4K | $90.82 | 1.96x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 4.1K | $156.1K | $38.05 | 1.63x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 7.1K | $140.5K | $19.82 | 1.39x |
| 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 | 3.0K | $136.7K | $45.99 | 2.09x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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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