This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $245.96 | $145.97 | 1.69x | $99.99 | $317.6K | 3.0K | 1.5K |
| 2015 | $245.00 | $143.52 | 1.71x | $101.48 | $393.5K | 3.8K | 1.5K |
| 2016 | $286.67 | $173.64 | 1.65x | $113.03 | $367.9K | 3.6K | 1.7K |
| 2017 | $230.50 | $133.96 | 1.72x | $96.54 | $361.2K | 3.6K | 1.6K |
| 2018 | $270.31 | $163.77 | 1.65x | $106.54 | $385.5K | 3.3K | 1.5K |
| 2019 | $262.61 | $156.60 | 1.68x | $106.01 | $418.3K | 3.5K | 1.6K |
| 2020 | $177.50 | $107.28 | 1.65x | $70.22 | $359.4K | 2.9K | 1.1K |
| 2021 | $157.50 | $90.61 | 1.74x | $66.89 | $272.8K | 2.1K | 916 |
| 2022 | $153.12 | $96.03 | 1.59x | $57.09 | $256.7K | 1.9K | 706 |
| 2023 | $193.75 | $122.79 | 1.58x | $70.96 | $294.2K | 1.9K | 579 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 10.8K | $1.9M | $178.20 | 1.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.9K | $385.2K | $55.72 | 1.79x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.9K | $329.6K | $83.65 | 1.49x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.1K | $179.4K | $57.51 | 1.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $162.5K | $83.16 | 1.79x |
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 253 | $136.6K | $540.12 | 1.76x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 146 | $74.4K | $509.64 | 1.73x |
| 31622 | Diagnostic examination of lung airways using an endoscope | 558 | $61.8K | $110.76 | 1.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 446 | $55.5K | $124.33 | 1.60x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 459 | $37.3K | $81.37 | 1.84x |
| 31600 | Opening of windpipe through neck for insertion of breathing tube | 54 | $14.4K | $267.31 | 1.60x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 121 | $11.5K | $94.94 | 1.32x |
| 99239 | Hospital discharge day management, more than 30 minutes | 126 | $10.8K | $85.74 | 1.45x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 121 | $10.5K | $86.67 | 2.30x |
| 99292 | Critical care delivery critically ill or injured patient | 92 | $8.3K | $90.26 | 1.38x |
| 33235 | Removal of electrodes from right heart | 12 | $6.1K | $505.37 | 1.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 23 | $3.7K | $159.26 | 1.41x |
| 99356 | Prolonged inpatient or observation hospital service first hour | 37 | $2.7K | $73.13 | 1.67x |
| 94620 | Pulmonary exercise testing | 58 | $2.6K | $44.38 | 1.78x |
| 94010 | Measurement and graphic recording of total and timed exhaled air capacity | 84 | $2.4K | $28.58 | 1.69x |
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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