This provider averages 103 services per working day
Based on 257.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.1M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Averaging 103 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% in 2020
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 | $82.17 | $45.58 | 1.80x | $36.59 | $639.8K | 21.4K | 16.5K |
| 2015 | $83.00 | $44.58 | 1.86x | $38.42 | $700.2K | 23.0K | 18.3K |
| 2016 | $105.68 | $58.63 | 1.80x | $47.05 | $664.6K | 22.2K | 16.8K |
| 2017 | $109.48 | $57.97 | 1.89x | $51.51 | $789.6K | 24.7K | 19.4K |
| 2018 | $120.56 | $57.93 | 2.08x | $62.63 | $749.8K | 23.6K | 18.3K |
| 2019 | $112.90 | $56.89 | 1.98x | $56.01 | $795.0K | 25.5K | 20.1K |
| 2020 | $92.93 | $45.95 | 2.02x | $46.98 | $1.2M | 35.7K | 24.5K |
| 2021 | $89.35 | $47.43 | 1.88x | $41.92 | $1.1M | 32.4K | 21.4K |
| 2022 | $93.54 | $47.93 | 1.95x | $45.61 | $727.3K | 24.4K | 18.9K |
| 2023 | $99.53 | $48.46 | 2.05x | $51.07 | $765.0K | 24.9K | 19.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 36.1K | $1.9M | $53.43 | 1.99x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.4K | $676.4K | $125.69 | 1.45x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 10.3K | $508.4K | $49.49 | 1.45x |
| 90662 | Vaccine for influenza for injection into muscle | 5.7K | $293.6K | $51.90 | 1.42x |
| 82306 | Vitamin D-3 level | 7.9K | $263.5K | $33.29 | 1.92x |
| 45380 | Biopsy of large bowel using an endoscope | 728 | $247.4K | $339.79 | 2.07x |
| 90670 | Pneumococcal vaccine for injection into muscle | 1.2K | $195.0K | $165.86 | 1.10x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.4K | $190.6K | $80.88 | 1.24x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 9.0K | $172.1K | $19.12 | 3.44x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 1.5K | $150.4K | $99.04 | 1.18x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 8.4K | $143.2K | $17.10 | 4.15x |
| G0008 | Administration of influenza virus vaccine | 5.9K | $142.6K | $24.07 | 1.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $137.8K | $70.43 | 2.19x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 10.3K | $134.6K | $13.06 | 2.73x |
| 80053 | Blood test, comprehensive group of blood chemicals | 11.4K | $132.8K | $11.61 | 3.48x |
| 82746 | Folic acid level | 6.9K | $116.9K | $16.83 | 4.22x |
| 84403 | Testosterone (hormone) level | 3.9K | $114.7K | $29.12 | 1.63x |
| 77067 | Mammography of both breasts | 793 | $111.6K | $140.75 | 1.42x |
| 86141 | Measurement C-reactive protein for detection of infection or inflammation | 7.1K | $103.3K | $14.56 | 2.77x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 11.4K | $101.5K | $8.87 | 2.86x |
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 General Practice providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jack Azad, M.D. | Los Angeles, CA | $34.5M | ⚠️ 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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