This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 5568% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 719% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $190.42 | $64.43 | 2.96x | $125.99 | $26.8K | 418 | 315 |
| 2017 | $92.30 | $46.13 | 2.00x | $46.17 | $11.8K | 145 | 109 |
| 2018 | $134.51 | $95.51 | 1.41x | $39.00 | $96.8K | 1.3K | 278 |
| 2019 | $185.96 | $95.47 | 1.95x | $90.49 | $274.2K | 3.6K | 724 |
| 2020 | $189.71 | $92.52 | 2.05x | $97.19 | $449.4K | 5.5K | 1.3K |
| 2021 | $212.50 | $92.99 | 2.29x | $119.51 | $1.3M | 16.2K | 2.6K |
| 2022 | $215.00 | $92.58 | 2.32x | $122.42 | $1.3M | 18.7K | 1.7K |
| 2023 | $212.50 | $98.05 | 2.17x | $114.45 | $1.5M | 20.9K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 38.0K | $2.5M | $65.03 | 2.28x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 25.0K | $2.1M | $84.82 | 2.25x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 989 | $150.2K | $151.89 | 2.16x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.3K | $105.1K | $79.28 | 1.86x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 672 | $64.5K | $95.97 | 2.25x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 191 | $17.0K | $88.81 | 2.40x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 264 | $15.1K | $57.35 | 3.49x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 88 | $7.3K | $82.83 | 2.41x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 29 | $3.6K | $125.44 | 1.02x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 14 | $1.1K | $78.80 | 4.09x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 30 | $997.43 | $33.25 | 3.79x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 14 | $964.93 | $68.92 | 1.84x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 11 | $419.46 | $38.13 | 5.95x |
| G0008 | Administration of influenza virus vaccine | 11 | $334.18 | $30.38 | 1.02x |
| 36415 | Insertion of needle into vein for collection of blood sample | 13 | $38.22 | $2.94 | 3.40x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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