This provider's $9.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $96.45 | $59.97 | 1.61x | $36.48 | $826.2K | 13.8K | 5.2K |
| 2015 | $108.69 | $66.79 | 1.63x | $41.90 | $1.0M | 13.3K | 5.9K |
| 2016 | $102.92 | $61.53 | 1.67x | $41.39 | $1.0M | 13.5K | 5.9K |
| 2017 | $119.24 | $83.12 | 1.43x | $36.12 | $1.2M | 13.3K | 5.5K |
| 2018 | $130.51 | $77.02 | 1.69x | $53.49 | $983.6K | 12.8K | 5.4K |
| 2019 | $101.41 | $60.96 | 1.66x | $40.45 | $912.7K | 12.6K | 5.0K |
| 2020 | $131.02 | $81.37 | 1.61x | $49.65 | $755.2K | 10.6K | 4.2K |
| 2021 | $139.81 | $89.34 | 1.56x | $50.47 | $931.4K | 12.0K | 4.4K |
| 2022 | $135.40 | $81.96 | 1.65x | $53.44 | $941.1K | 12.0K | 4.6K |
| 2023 | $109.31 | $63.07 | 1.73x | $46.24 | $748.4K | 10.2K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 26.3K | $2.8M | $106.88 | 1.57x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 26.1K | $1.1M | $41.61 | 1.70x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.3K | $1.0M | $238.45 | 1.35x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 8.9K | $600.1K | $67.77 | 1.67x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 3.1K | $541.8K | $172.76 | 1.48x |
| 62311 | Injections of substances into lower or sacral spine | 3.0K | $534.7K | $175.48 | 1.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.8K | $519.8K | $66.74 | 1.97x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 6.1K | $364.3K | $60.01 | 1.73x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.2K | $263.9K | $225.52 | 1.38x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.2K | $202.0K | $92.93 | 1.88x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.5K | $157.9K | $64.33 | 1.74x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.2K | $130.2K | $110.38 | 1.44x |
| 76881 | Ultrasound of leg or arm | 1.1K | $108.8K | $97.77 | 1.69x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 7.4K | $95.0K | $12.83 | 1.48x |
| 23405 | Incision of shoulder tendon | 132 | $74.3K | $562.58 | 1.42x |
| 20604 | Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance | 1.1K | $68.5K | $60.65 | 1.72x |
| 20606 | Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance | 905 | $67.0K | $74.04 | 1.60x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.7K | $49.6K | $18.18 | 1.89x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 737 | $44.4K | $60.23 | 1.66x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 531 | $42.3K | $79.71 | 1.50x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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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