This provider averages 59 services per working day
Based on 102.5K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 13073% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 12389% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $74.64 | $58.52 | 1.28x | $16.12 | $5.8K | 100 | 61 |
| 2018 | $113.31 | $55.50 | 2.04x | $57.81 | $728.6K | 17.3K | 7.0K |
| 2019 | $109.15 | $49.22 | 2.22x | $59.93 | $1.0M | 23.9K | 8.1K |
| 2020 | $111.90 | $47.35 | 2.36x | $64.55 | $669.0K | 16.7K | 5.0K |
| 2021 | $121.30 | $51.63 | 2.35x | $69.67 | $699.1K | 14.6K | 4.2K |
| 2022 | $113.02 | $47.08 | 2.40x | $65.94 | $730.6K | 15.1K | 4.8K |
| 2023 | $142.12 | $53.17 | 2.67x | $88.95 | $768.5K | 14.9K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.0K | $817.0K | $67.99 | 1.64x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $563.3K | $95.01 | 1.63x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 4.5K | $520.7K | $116.89 | 2.56x |
| 20553 | Injections of trigger points in 3 or more muscles | 5.7K | $312.0K | $54.66 | 2.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 7.1K | $306.9K | $42.96 | 1.52x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 5.8K | $290.9K | $50.49 | 4.45x |
| 80307 | Testing for presence of drug | 4.5K | $283.7K | $63.61 | 1.89x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.0K | $182.6K | $179.40 | 2.25x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 946 | $172.0K | $181.83 | 1.81x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 11.3K | $159.5K | $14.08 | 2.49x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 268 | $96.9K | $361.46 | 1.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 587 | $77.6K | $132.12 | 1.88x |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 1.1K | $69.9K | $63.14 | 2.09x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 126 | $56.2K | $445.85 | 1.51x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 393 | $55.1K | $140.16 | 1.68x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 180 | $44.8K | $248.69 | 1.49x |
| 76700 | Ultrasound of abdomen | 285 | $31.0K | $108.86 | 2.76x |
| G0008 | Administration of influenza virus vaccine | 1.1K | $26.4K | $23.48 | 1.35x |
| 76770 | Ultrasound behind abdominal cavity | 244 | $24.7K | $101.18 | 2.96x |
| 90670 | Pneumococcal vaccine for injection into muscle | 113 | $23.9K | $211.82 | 1.18x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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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