This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 169% from 2014 to 2023.
67% of their billing comes from a single procedure code (99213 — Established patient office or other outpatient visit, typically 15 minutes).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2018
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 | $212.73 | $65.04 | 3.27x | $147.69 | $295.5K | 5.5K | 1.5K |
| 2015 | $253.33 | $82.37 | 3.08x | $170.96 | $290.9K | 5.1K | 1.4K |
| 2016 | $230.00 | $82.00 | 2.80x | $148.00 | $315.7K | 5.4K | 1.5K |
| 2017 | $194.55 | $78.31 | 2.48x | $116.24 | $257.6K | 4.3K | 1.5K |
| 2018 | $221.53 | $92.46 | 2.40x | $129.07 | $403.9K | 6.9K | 2.3K |
| 2019 | $210.97 | $85.76 | 2.46x | $125.21 | $618.1K | 9.9K | 3.4K |
| 2020 | $198.91 | $80.52 | 2.47x | $118.39 | $723.5K | 11.4K | 3.3K |
| 2021 | $239.03 | $97.49 | 2.45x | $141.54 | $835.0K | 11.6K | 3.6K |
| 2022 | $230.10 | $97.10 | 2.37x | $133.00 | $813.0K | 11.9K | 3.8K |
| 2023 | $227.00 | $94.63 | 2.40x | $132.37 | $794.3K | 11.7K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 54.0K | $3.6M | $65.97 | 1.83x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.0K | $472.2K | $94.31 | 1.87x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.1K | $285.8K | $138.95 | 1.76x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.1K | $192.2K | $61.57 | 3.25x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 757 | $141.6K | $187.09 | 1.57x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 698 | $117.2K | $167.95 | 2.68x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.7K | $89.6K | $52.27 | 3.83x |
| 99239 | Hospital discharge day management, more than 30 minutes | 706 | $64.7K | $91.70 | 3.27x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 528 | $61.9K | $117.23 | 2.56x |
| 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 implem | 1.1K | $52.3K | $46.19 | 2.60x |
| 99350 | Established patient home visit, typically 60 minutes | 333 | $49.3K | $148.06 | 3.04x |
| G0179 | Physician re-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 imp | 1.3K | $46.0K | $35.99 | 3.33x |
| G0444 | Annual depression screening, 15 minutes | 1.8K | $37.1K | $20.84 | 3.60x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 210 | $36.9K | $175.93 | 1.41x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 155 | $34.5K | $222.59 | 1.62x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 421 | $28.4K | $67.37 | 1.48x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.9K | $24.8K | $13.43 | 8.94x |
| 36415 | Insertion of needle into vein for collection of blood sample | 6.0K | $22.9K | $3.79 | 5.27x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 80 | $15.1K | $188.92 | 3.44x |
| 77080 | Bone density measurement using dedicated X-ray machine | 180 | $8.5K | $47.48 | 8.42x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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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