This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 420% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 521% in 2022
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $109.71 | $76.95 | 1.43x | $32.76 | $384.0K | 5.5K | 1.7K |
| 2015 | $139.58 | $84.12 | 1.66x | $55.46 | $603.9K | 8.2K | 2.7K |
| 2016 | $136.10 | $76.71 | 1.77x | $59.39 | $907.4K | 12.1K | 3.4K |
| 2017 | $130.43 | $66.70 | 1.96x | $63.73 | $1.1M | 14.1K | 3.7K |
| 2018 | $123.90 | $68.34 | 1.81x | $55.56 | $1.7M | 19.2K | 4.9K |
| 2019 | $112.97 | $58.13 | 1.94x | $54.84 | $532.6K | 7.7K | 4.5K |
| 2020 | $106.76 | $63.22 | 1.69x | $43.54 | $203.4K | 4.6K | 1.9K |
| 2021 | $100.88 | $55.60 | 1.81x | $45.28 | $278.2K | 6.2K | 2.5K |
| 2022 | $119.52 | $67.31 | 1.78x | $52.21 | $1.7M | 20.2K | 4.9K |
| 2023 | $151.07 | $73.64 | 2.05x | $77.43 | $2.0M | 22.4K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 38.6K | $1.9M | $49.80 | 1.87x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 17.8K | $1.9M | $104.03 | 1.66x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 9.6K | $1.4M | $145.15 | 1.72x |
| 99349 | Established patient home visit, typically 40 minutes | 10.6K | $1.0M | $99.10 | 1.82x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 7.2K | $934.5K | $129.79 | 1.66x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 11.3K | $842.3K | $74.44 | 1.95x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 3.4K | $492.7K | $144.32 | 1.90x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.1K | $218.7K | $103.66 | 1.84x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 10.3K | $149.1K | $14.44 | 1.34x |
| 99327 | New patient assisted living visit, typically 60 minutes | 733 | $100.0K | $136.40 | 1.76x |
| 99318 | Nursing facility annual assessment, typically 30 minutes | 924 | $64.8K | $70.14 | 1.86x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 497 | $54.7K | $110.07 | 1.75x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 779 | $54.0K | $69.35 | 1.62x |
| 99344 | New patient home visit, typically 60 minutes | 340 | $39.0K | $114.76 | 2.03x |
| 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 | 746 | $31.7K | $42.53 | 2.20x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 483 | $29.7K | $61.46 | 1.79x |
| G0008 | Administration of influenza virus vaccine | 1.2K | $27.1K | $22.81 | 2.53x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 267 | $23.1K | $86.61 | 1.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 388 | $22.9K | $59.10 | 1.96x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 596 | $20.4K | $34.20 | 1.75x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. 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 | โ Clear |
| Richard Park, M.D. | Granada Hills, CA | $34.7M | โ ๏ธ 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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