This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 194% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% 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 | $132.40 | $69.16 | 1.91x | $63.24 | $221.3K | 4.0K | 1.6K |
| 2015 | $107.14 | $55.52 | 1.93x | $51.62 | $111.9K | 2.6K | 1.2K |
| 2016 | $100.50 | $47.07 | 2.14x | $53.43 | $111.6K | 2.6K | 1.3K |
| 2017 | $66.77 | $31.71 | 2.11x | $35.06 | $148.5K | 4.2K | 1.7K |
| 2018 | $109.48 | $50.94 | 2.15x | $58.54 | $285.6K | 6.7K | 2.8K |
| 2019 | $106.59 | $54.34 | 1.96x | $52.25 | $387.6K | 8.8K | 3.5K |
| 2020 | $98.96 | $50.39 | 1.96x | $48.57 | $502.7K | 10.8K | 3.7K |
| 2021 | $102.72 | $47.92 | 2.14x | $54.80 | $485.8K | 9.6K | 3.1K |
| 2022 | $79.39 | $44.03 | 1.80x | $35.36 | $558.0K | 10.2K | 2.9K |
| 2023 | $71.33 | $43.11 | 1.65x | $28.22 | $651.2K | 11.8K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 21.6K | $1.4M | $66.19 | 1.78x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 18.7K | $779.6K | $41.75 | 1.80x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 3.9K | $267.3K | $69.32 | 1.44x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.4K | $186.7K | $132.80 | 1.47x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.4K | $122.1K | $86.84 | 1.25x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $115.8K | $86.60 | 2.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 852 | $72.3K | $84.89 | 2.30x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 318 | $53.5K | $168.09 | 1.67x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 471 | $52.5K | $111.44 | 2.04x |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 1.3K | $36.1K | $27.95 | 2.15x |
| 36410 | Insertion of needle into vein, patient 3 years or older | 2.3K | $32.3K | $14.31 | 1.82x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 177 | $31.9K | $180.32 | 1.33x |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 2.8K | $29.5K | $10.63 | 8.43x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 1.3K | $27.5K | $20.39 | 2.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 187 | $25.3K | $135.31 | 1.66x |
| G0008 | Administration of influenza virus vaccine | 973 | $24.4K | $25.05 | 1.54x |
| G0444 | Annual depression screening, 15 minutes | 1.2K | $23.6K | $20.37 | 1.96x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.0K | $18.3K | $17.47 | 2.09x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 383 | $16.0K | $41.78 | 2.60x |
| 99238 | Hospital discharge day management, 30 minutes or less | 239 | $14.7K | $61.33 | 4.08x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. 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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