This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 41079% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2461% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $256.00 | $79.78 | 3.21x | $176.22 | $2.2K | 27 | 14 |
| 2017 | $291.04 | $121.77 | 2.39x | $169.27 | $55.2K | 620 | 212 |
| 2018 | $294.89 | $104.14 | 2.83x | $190.75 | $376.1K | 3.7K | 1.3K |
| 2019 | $321.97 | $107.38 | 3.00x | $214.59 | $374.6K | 3.7K | 1.2K |
| 2020 | $306.35 | $108.14 | 2.83x | $198.21 | $514.3K | 5.5K | 1.2K |
| 2021 | $312.67 | $107.04 | 2.92x | $205.63 | $480.5K | 5.1K | 1.2K |
| 2022 | $289.75 | $97.71 | 2.97x | $192.04 | $716.7K | 8.1K | 1.6K |
| 2023 | $284.33 | $91.51 | 3.11x | $192.82 | $887.0K | 9.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 16.5K | $1.4M | $86.51 | 2.37x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 5.4K | $944.2K | $174.33 | 2.74x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.9K | $635.8K | $58.44 | 2.32x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $320.4K | $155.78 | 2.40x |
| 99292 | Critical care delivery critically ill or injured patient | 233 | $20.7K | $88.90 | 2.45x |
| 31500 | Emergent insertion of breathing tube into windpipe cartilage using an endoscope | 178 | $20.1K | $112.69 | 2.40x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 185 | $12.5K | $67.69 | 6.97x |
| 92950 | Attempt to restart heart and lungs | 47 | $6.9K | $147.52 | 3.57x |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 36 | $6.0K | $166.21 | 2.09x |
| 99239 | Hospital discharge day management, more than 30 minutes | 51 | $4.6K | $90.54 | 1.85x |
| G0408 | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth | 44 | $3.7K | $84.86 | 2.16x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 30 | $3.1K | $104.31 | 4.99x |
| 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 69 | $2.4K | $35.38 | 3.98x |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | 13 | $1.4K | $108.26 | 2.28x |
| 99238 | Hospital discharge day management, 30 minutes or less | 14 | $816.34 | $58.31 | 4.03x |
| 76937 | Ultrasonic guidance for blood vessel access | 21 | $224.33 | $10.68 | 4.68x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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