This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 57% 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 | $358.26 | $88.13 | 4.07x | $270.13 | $560.2K | 6.4K | 3.1K |
| 2015 | $412.53 | $89.93 | 4.59x | $322.60 | $548.0K | 6.1K | 3.2K |
| 2016 | $364.25 | $82.92 | 4.39x | $281.33 | $533.9K | 6.2K | 3.2K |
| 2017 | $437.39 | $78.52 | 5.57x | $358.87 | $539.4K | 6.3K | 3.3K |
| 2018 | $381.26 | $90.57 | 4.21x | $290.69 | $640.9K | 7.3K | 4.1K |
| 2019 | $440.24 | $101.44 | 4.34x | $338.80 | $767.1K | 8.7K | 4.9K |
| 2020 | $405.56 | $103.78 | 3.91x | $301.78 | $672.5K | 7.9K | 4.0K |
| 2021 | $370.72 | $84.67 | 4.38x | $286.05 | $619.5K | 8.1K | 3.9K |
| 2022 | $277.33 | $88.57 | 3.13x | $188.76 | $613.3K | 8.1K | 4.3K |
| 2023 | $350.86 | $119.85 | 2.93x | $231.01 | $879.1K | 9.6K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 30.2K | $2.5M | $83.61 | 4.49x |
| 99239 | Hospital discharge day management, more than 30 minutes | 15.4K | $1.3M | $86.44 | 5.21x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 6.9K | $1.1M | $157.34 | 4.13x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 16.8K | $980.3K | $58.37 | 4.88x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7K | $101.7K | $58.62 | 2.13x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 902 | $96.7K | $107.17 | 5.60x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 416 | $62.7K | $150.67 | 1.31x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 453 | $46.5K | $102.71 | 1.44x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 349 | $27.3K | $78.18 | 1.75x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 148 | $25.8K | $174.06 | 3.45x |
| 99220 | Hospital observation care, typically 70 minutes | 170 | $24.6K | $144.42 | 3.47x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 716 | $22.8K | $31.78 | 3.00x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 114 | $15.5K | $135.80 | 1.84x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 66 | $9.3K | $141.46 | 1.77x |
| 99235 | Hospital observation or inpatient care moderate severity, 50 minutes per day' | 66 | $8.5K | $129.40 | 5.53x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 23 | $4.1K | $178.38 | 1.68x |
| 99496 | Transitional care management services for problem of high complexity | 16 | $3.9K | $241.32 | 1.86x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 37 | $3.3K | $88.45 | 2.26x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 16 | $2.9K | $180.39 | 2.22x |
| 99217 | Hospital observation care discharge | 27 | $1.5K | $56.96 | 16.68x |
This provider submits charges 4.52 times higher than what Medicare actually pays.
A markup ratio of 4.52x means for every $100 Medicare pays, this provider initially charges $452. 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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