This provider averages 88 services per working day
Based on 221.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 88 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 45609% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2003% in 2015
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 | $337.14 | $113.71 | 2.96x | $223.43 | $5.9K | 53 | 38 |
| 2015 | $325.38 | $120.94 | 2.69x | $204.44 | $124.5K | 1.3K | 575 |
| 2016 | $362.77 | $120.89 | 3.00x | $241.88 | $213.7K | 2.2K | 969 |
| 2017 | $215.36 | $63.37 | 3.40x | $151.99 | $536.2K | 9.4K | 4.8K |
| 2018 | $132.75 | $58.17 | 2.28x | $74.58 | $679.3K | 13.0K | 6.1K |
| 2019 | $138.95 | $60.29 | 2.30x | $78.66 | $1.0M | 20.6K | 10.0K |
| 2020 | $139.41 | $60.33 | 2.31x | $79.08 | $1.4M | 26.7K | 12.4K |
| 2021 | $131.58 | $61.15 | 2.15x | $70.43 | $2.2M | 42.4K | 16.2K |
| 2022 | $128.62 | $58.87 | 2.18x | $69.75 | $2.6M | 51.6K | 15.2K |
| 2023 | $128.14 | $56.80 | 2.26x | $71.34 | $2.7M | 53.6K | 14.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.4K | $2.1M | $91.46 | 2.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.4K | $960.3K | $62.42 | 2.80x |
| 90960 | Dialysis services (4 or more physician visits per month), patient 20 years of age and older | 3.1K | $818.1K | $267.96 | 2.07x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 20.0K | $767.3K | $38.42 | 1.93x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 17.7K | $736.8K | $41.58 | 1.68x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 18.5K | $578.6K | $31.22 | 1.89x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 5.2K | $573.8K | $109.90 | 2.31x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.8K | $481.1K | $128.03 | 1.75x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.4K | $357.8K | $55.79 | 2.15x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 5.7K | $352.6K | $62.35 | 2.96x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.0K | $338.9K | $83.96 | 2.77x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 7.2K | $323.6K | $44.82 | 2.10x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.8K | $319.6K | $85.14 | 2.35x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 6.4K | $305.4K | $47.45 | 4.22x |
| 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 989 | $221.2K | $223.61 | 2.01x |
| 76705 | Ultrasound of abdomen | 3.0K | $216.3K | $73.19 | 2.71x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $197.0K | $130.21 | 1.96x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $195.3K | $159.55 | 3.23x |
| 10022 | Fine needle aspiration using imaging guidance | 1.3K | $155.0K | $116.23 | 2.19x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 10.5K | $129.5K | $12.35 | 3.63x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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