This provider averages 95 services per working day
Based on 236.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 95 services per working day raises questions about billing patterns.
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 | $147.95 | $80.54 | 1.84x | $67.41 | $1.5M | 23.7K | 8.9K |
| 2015 | $147.63 | $81.01 | 1.82x | $66.62 | $1.3M | 21.7K | 7.8K |
| 2016 | $144.77 | $78.14 | 1.85x | $66.63 | $1.5M | 24.6K | 8.8K |
| 2017 | $141.00 | $76.21 | 1.85x | $64.79 | $1.4M | 25.1K | 7.6K |
| 2018 | $131.20 | $81.87 | 1.60x | $49.33 | $1.6M | 24.4K | 7.3K |
| 2019 | $127.46 | $68.85 | 1.85x | $58.61 | $1.7M | 27.8K | 8.9K |
| 2020 | $142.99 | $70.29 | 2.03x | $72.70 | $1.6M | 25.4K | 7.4K |
| 2021 | $145.01 | $75.32 | 1.93x | $69.69 | $1.6M | 22.9K | 6.8K |
| 2022 | $137.86 | $70.98 | 1.94x | $66.88 | $1.5M | 21.3K | 6.0K |
| 2023 | $141.57 | $69.74 | 2.03x | $71.83 | $1.3M | 19.7K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 121.1K | $8.3M | $68.32 | 1.57x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 34.7K | $1.4M | $40.36 | 3.93x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.9K | $917.7K | $132.77 | 1.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.4K | $798.5K | $95.47 | 1.57x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 5.6K | $476.3K | $84.76 | 2.08x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 3.5K | $282.0K | $80.54 | 1.80x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.9K | $256.0K | $89.22 | 1.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $215.9K | $175.36 | 1.33x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 945 | $201.5K | $213.25 | 1.51x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $178.7K | $125.03 | 1.46x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 1.4K | $159.8K | $113.91 | 1.54x |
| 76700 | Ultrasound of abdomen | 1.4K | $155.0K | $114.60 | 2.62x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 845 | $145.8K | $172.51 | 1.47x |
| G0008 | Administration of influenza virus vaccine | 6.1K | $142.3K | $23.36 | 1.13x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 3.1K | $136.9K | $44.64 | 1.89x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 701 | $131.9K | $188.15 | 1.20x |
| 99239 | Hospital discharge day management, more than 30 minutes | 799 | $73.9K | $92.50 | 1.44x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 397 | $72.6K | $182.83 | 1.52x |
| 71046 | X-ray of chest, 2 views | 2.3K | $69.7K | $30.21 | 2.81x |
| 76706 | Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) | 557 | $68.8K | $123.50 | 2.43x |
This provider submits charges 1.87 times higher than what Medicare actually pays.
A markup ratio of 1.87x means for every $100 Medicare pays, this provider initially charges $187. 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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