This provider averages 55 services per working day
Based on 137.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 302% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 129% in 2016
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 | $164.54 | $72.74 | 2.26x | $91.80 | $324.6K | 5.9K | 3.6K |
| 2015 | $77.65 | $37.63 | 2.06x | $40.02 | $282.0K | 6.0K | 3.3K |
| 2016 | $88.24 | $41.43 | 2.13x | $46.81 | $645.7K | 14.6K | 5.9K |
| 2017 | $97.85 | $41.69 | 2.35x | $56.16 | $814.0K | 18.4K | 6.9K |
| 2018 | $97.39 | $42.03 | 2.32x | $55.36 | $868.3K | 20.1K | 7.4K |
| 2019 | $118.25 | $59.69 | 1.98x | $58.56 | $799.3K | 16.8K | 5.8K |
| 2020 | $131.44 | $63.79 | 2.06x | $67.65 | $711.9K | 16.3K | 5.9K |
| 2021 | $226.89 | $124.90 | 1.82x | $101.99 | $691.9K | 9.8K | 5.3K |
| 2022 | $241.20 | $123.71 | 1.95x | $117.49 | $1.2M | 15.4K | 6.3K |
| 2023 | $238.38 | $112.55 | 2.12x | $125.83 | $1.3M | 13.9K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 38.5K | $2.2M | $58.03 | 1.67x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 49.0K | $1.8M | $35.78 | 1.50x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 672 | $703.4K | $1.0K | 2.39x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 358 | $463.7K | $1.3K | 1.55x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 3.0K | $363.3K | $122.11 | 3.35x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.8K | $320.6K | $83.57 | 1.88x |
| 90662 | Vaccine for influenza for injection into muscle | 5.5K | $294.2K | $53.39 | 1.22x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.7K | $168.4K | $45.82 | 2.84x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 745 | $159.1K | $213.61 | 1.75x |
| G0008 | Administration of influenza virus vaccine | 5.9K | $152.4K | $26.01 | 1.92x |
| 90670 | Pneumococcal vaccine for injection into muscle | 712 | $140.8K | $197.73 | 1.29x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.7K | $89.5K | $15.66 | 2.55x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 812 | $57.3K | $70.60 | 2.90x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 256 | $48.4K | $189.20 | 1.59x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 307 | $47.6K | $155.14 | 2.08x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 275 | $47.1K | $171.42 | 1.47x |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 263 | $46.4K | $176.27 | 1.70x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 744 | $44.3K | $59.50 | 1.63x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 331 | $34.1K | $102.88 | 1.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 788 | $27.4K | $34.75 | 2.03x |
This provider submits charges 1.84 times higher than what Medicare actually pays.
A markup ratio of 1.84x means for every $100 Medicare pays, this provider initially charges $184. 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 | ✓ 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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