This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 39406% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2381% in 2015
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 | $398.46 | $118.51 | 3.36x | $279.95 | $5.0K | 40 | 40 |
| 2015 | $466.66 | $95.99 | 4.86x | $370.67 | $123.4K | 1.3K | 785 |
| 2016 | $353.36 | $92.08 | 3.84x | $261.28 | $209.9K | 2.3K | 1.6K |
| 2017 | $294.29 | $86.36 | 3.41x | $207.93 | $577.1K | 7.0K | 4.4K |
| 2018 | $289.74 | $92.98 | 3.12x | $196.76 | $818.1K | 9.0K | 3.9K |
| 2019 | $340.62 | $101.16 | 3.37x | $239.46 | $352.2K | 3.9K | 2.0K |
| 2020 | $313.14 | $97.45 | 3.21x | $215.69 | $966.8K | 11.3K | 4.0K |
| 2021 | $321.56 | $100.00 | 3.22x | $221.56 | $1.0M | 13.5K | 4.6K |
| 2022 | $324.77 | $96.04 | 3.38x | $228.73 | $1.5M | 18.7K | 5.6K |
| 2023 | $312.76 | $95.34 | 3.28x | $217.42 | $2.0M | 23.3K | 7.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 18.0K | $1.4M | $80.34 | 2.24x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 22.6K | $1.4M | $60.05 | 2.50x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.9K | $806.7K | $90.88 | 4.26x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 10.6K | $675.3K | $63.98 | 3.91x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.7K | $622.9K | $167.05 | 3.51x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 4.3K | $619.1K | $144.37 | 2.08x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 6.5K | $424.4K | $65.63 | 2.26x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.6K | $307.6K | $189.85 | 3.42x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.9K | $300.5K | $61.89 | 5.58x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 1.5K | $257.5K | $167.19 | 3.59x |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.6K | $236.8K | $92.68 | 5.06x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 1.8K | $169.3K | $94.93 | 3.69x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 1.3K | $153.4K | $122.70 | 1.63x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 178 | $36.4K | $204.50 | 3.18x |
| 99498 | Advance care planning by the physician or other qualified health care professional | 356 | $20.4K | $57.17 | 2.06x |
| 99183 | Management of oxygen chamber therapy | 226 | $20.4K | $90.06 | 3.89x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 158 | $15.3K | $96.67 | 2.08x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 237 | $14.2K | $59.77 | 2.01x |
| 36569 | Insertion of central venous catheter for infusion, patient 5 years or older | 102 | $8.1K | $79.40 | 2.52x |
| 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 | 151 | $6.9K | $45.86 | 2.88x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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