This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 109% from 2014 to 2023.
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 | $111.94 | $79.53 | 1.41x | $32.41 | $486.6K | 6.1K | 2.3K |
| 2015 | $120.19 | $81.54 | 1.47x | $38.65 | $551.5K | 7.1K | 2.5K |
| 2016 | $115.24 | $75.29 | 1.53x | $39.95 | $510.6K | 6.5K | 2.5K |
| 2017 | $125.87 | $77.90 | 1.62x | $47.97 | $634.0K | 8.2K | 3.1K |
| 2018 | $131.26 | $85.93 | 1.53x | $45.33 | $718.5K | 9.0K | 3.2K |
| 2019 | $150.50 | $92.84 | 1.62x | $57.66 | $776.9K | 9.1K | 3.2K |
| 2020 | $143.85 | $77.86 | 1.85x | $65.99 | $670.4K | 8.4K | 3.1K |
| 2021 | $126.05 | $83.32 | 1.51x | $42.73 | $727.8K | 8.3K | 3.6K |
| 2022 | $125.75 | $84.76 | 1.48x | $40.99 | $792.7K | 9.2K | 4.0K |
| 2023 | $129.78 | $79.28 | 1.64x | $50.50 | $1.0M | 11.4K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 36.6K | $2.9M | $79.00 | 1.65x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.6K | $855.4K | $129.75 | 1.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.4K | $665.5K | $89.47 | 1.57x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 3.3K | $450.1K | $135.05 | 1.40x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 4.6K | $312.1K | $67.41 | 1.69x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 3.2K | $292.4K | $91.26 | 1.54x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.1K | $287.2K | $134.41 | 1.35x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $281.8K | $66.20 | 1.39x |
| 99349 | Established patient home visit, typically 40 minutes | 1.2K | $124.9K | $100.39 | 1.68x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 569 | $109.9K | $193.17 | 1.30x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 862 | $104.7K | $121.41 | 1.39x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 360 | $51.4K | $142.73 | 1.50x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.2K | $42.1K | $34.46 | 1.54x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 556 | $32.9K | $59.12 | 1.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 326 | $28.6K | $87.72 | 1.33x |
| 99354 | Prolonged office or other outpatient service first hour | 262 | $27.9K | $106.64 | 1.65x |
| 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 imple | 596 | $27.7K | $46.52 | 2.13x |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 933 | $26.4K | $28.34 | 1.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 140 | $23.7K | $169.01 | 1.30x |
| 90653 | Vaccine for influenza for injection into muscle | 408 | $23.6K | $57.96 | 1.32x |
This provider submits charges 1.58 times higher than what Medicare actually pays.
A markup ratio of 1.58x means for every $100 Medicare pays, this provider initially charges $158. 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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