This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 80% 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 | $131.79 | $68.44 | 1.93x | $63.35 | $321.1K | 5.2K | 3.3K |
| 2015 | $132.22 | $67.58 | 1.96x | $64.64 | $421.3K | 6.3K | 4.4K |
| 2016 | $126.91 | $64.26 | 1.97x | $62.65 | $339.1K | 5.7K | 3.6K |
| 2017 | $138.84 | $70.74 | 1.96x | $68.10 | $413.1K | 6.7K | 4.4K |
| 2018 | $137.87 | $70.03 | 1.97x | $67.84 | $350.4K | 5.5K | 3.5K |
| 2019 | $133.43 | $69.81 | 1.91x | $63.62 | $366.7K | 5.2K | 3.5K |
| 2020 | $135.71 | $75.85 | 1.79x | $59.86 | $457.3K | 5.9K | 4.4K |
| 2021 | $144.71 | $73.78 | 1.96x | $70.93 | $519.6K | 6.5K | 4.8K |
| 2022 | $153.45 | $73.91 | 2.08x | $79.54 | $547.3K | 7.0K | 5.1K |
| 2023 | $171.93 | $78.56 | 2.19x | $93.37 | $578.7K | 7.1K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.8K | $1.1M | $86.44 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.5K | $524.1K | $61.34 | 1.81x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.9K | $521.5K | $134.07 | 1.23x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.9K | $508.2K | $86.85 | 2.30x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 807 | $151.0K | $187.17 | 1.34x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6K | $140.2K | $89.67 | 2.34x |
| 90662 | Vaccine for influenza for injection into muscle | 2.5K | $137.2K | $54.56 | 1.33x |
| 90670 | Pneumococcal vaccine for injection into muscle | 823 | $135.1K | $164.14 | 1.58x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 567 | $98.2K | $173.21 | 1.88x |
| G0008 | Administration of influenza virus vaccine | 3.5K | $92.6K | $26.40 | 1.20x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 919 | $73.6K | $80.14 | 1.62x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 524 | $71.2K | $135.96 | 2.27x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 762 | $68.2K | $89.53 | 1.84x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 748 | $53.5K | $71.46 | 2.52x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 991 | $53.2K | $53.66 | 2.42x |
| G0444 | Annual depression screening, 15 minutes | 2.4K | $50.6K | $20.93 | 1.19x |
| 69210 | Removal of impact ear wax, one ear | 1.2K | $43.6K | $37.07 | 2.70x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 704 | $41.6K | $59.05 | 2.54x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 208 | $37.2K | $179.08 | 1.51x |
| 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 | 807 | $36.6K | $45.39 | 1.86x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. 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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