This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 152% 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 | $120.50 | $56.13 | 2.15x | $64.37 | $392.3K | 6.1K | 2.1K |
| 2015 | $154.99 | $60.16 | 2.58x | $94.83 | $482.7K | 6.7K | 2.4K |
| 2016 | $142.41 | $65.40 | 2.18x | $77.01 | $514.2K | 7.1K | 2.3K |
| 2017 | $128.84 | $61.37 | 2.10x | $67.47 | $555.5K | 7.5K | 2.1K |
| 2018 | $139.31 | $61.32 | 2.27x | $77.99 | $686.1K | 9.0K | 2.1K |
| 2019 | $146.10 | $64.46 | 2.27x | $81.64 | $827.8K | 10.6K | 2.1K |
| 2020 | $141.82 | $68.56 | 2.07x | $73.26 | $863.2K | 11.0K | 1.9K |
| 2021 | $146.68 | $71.54 | 2.05x | $75.14 | $857.4K | 11.7K | 1.9K |
| 2022 | $141.95 | $66.88 | 2.12x | $75.07 | $746.9K | 11.0K | 1.7K |
| 2023 | $141.59 | $69.86 | 2.03x | $71.73 | $987.0K | 13.5K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 21.7K | $1.9M | $89.47 | 2.81x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 29.9K | $1.8M | $60.60 | 2.49x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 8.4K | $655.3K | $77.95 | 2.17x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 2.3K | $427.2K | $187.53 | 2.13x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.6K | $408.1K | $61.90 | 2.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.7K | $402.6K | $86.41 | 1.72x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $368.7K | $167.30 | 2.43x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.0K | $147.2K | $143.07 | 1.71x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 953 | $124.5K | $130.63 | 1.37x |
| 93922 | Ultrasound study of arteries of both arms and legs | 1.5K | $97.5K | $66.96 | 2.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $94.2K | $58.81 | 1.72x |
| 99239 | Hospital discharge day management, more than 30 minutes | 979 | $90.6K | $92.57 | 1.62x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.4K | $79.3K | $58.49 | 2.25x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 392 | $43.7K | $111.57 | 1.80x |
| 99292 | Critical care delivery critically ill or injured patient | 225 | $21.8K | $97.08 | 2.06x |
| 36410 | Insertion of needle into vein, patient 3 years or older | 1.7K | $21.5K | $12.69 | 2.36x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 167 | $21.0K | $125.90 | 1.59x |
| 83518 | Analysis of substance using immunoassay technique | 1.7K | $17.1K | $9.88 | 3.04x |
| G0008 | Administration of influenza virus vaccine | 650 | $16.9K | $25.99 | 1.89x |
| 69210 | Removal of impact ear wax, one ear | 376 | $13.6K | $36.24 | 5.21x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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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