This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $77.71 | $52.31 | 1.49x | $25.40 | $562.3K | 10.2K | 4.6K |
| 2015 | $78.97 | $52.19 | 1.51x | $26.78 | $553.8K | 10.3K | 4.5K |
| 2016 | $81.39 | $54.73 | 1.49x | $26.66 | $457.2K | 8.7K | 4.5K |
| 2017 | $81.74 | $52.16 | 1.57x | $29.58 | $573.9K | 10.9K | 5.5K |
| 2018 | $83.15 | $52.57 | 1.58x | $30.58 | $574.2K | 11.4K | 5.4K |
| 2019 | $88.48 | $57.14 | 1.55x | $31.34 | $552.4K | 10.8K | 5.4K |
| 2020 | $97.15 | $66.33 | 1.46x | $30.82 | $637.2K | 10.5K | 5.8K |
| 2021 | $113.62 | $73.94 | 1.54x | $39.68 | $667.4K | 10.0K | 5.3K |
| 2022 | $111.71 | $72.36 | 1.54x | $39.35 | $720.8K | 10.6K | 5.8K |
| 2023 | $112.37 | $74.63 | 1.51x | $37.74 | $739.0K | 10.8K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 47.9K | $2.7M | $56.30 | 1.71x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 16.3K | $869.6K | $53.23 | 1.66x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.2K | $790.1K | $128.04 | 1.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $308.1K | $78.85 | 1.58x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 3.0K | $306.9K | $101.36 | 1.52x |
| G0008 | Administration of influenza virus vaccine | 6.7K | $160.2K | $23.99 | 1.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 893 | $98.3K | $110.04 | 1.69x |
| 90670 | Pneumococcal vaccine for injection into muscle | 421 | $92.2K | $219.12 | 1.03x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 830 | $83.7K | $100.88 | 1.13x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 261 | $71.9K | $275.39 | 1.02x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 352 | $60.0K | $170.53 | 1.28x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 345 | $55.9K | $161.97 | 1.04x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 376 | $54.4K | $144.73 | 1.42x |
| 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 | 1.2K | $53.8K | $43.17 | 1.92x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 405 | $42.9K | $105.88 | 1.62x |
| 90662 | Vaccine for influenza for injection into muscle | 638 | $42.6K | $66.84 | 1.10x |
| 90674 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 1.5K | $37.9K | $25.06 | 1.27x |
| G0009 | Administration of pneumococcal vaccine | 1.5K | $34.5K | $22.96 | 1.37x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 1.8K | $28.7K | $15.61 | 1.31x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.2K | $26.6K | $12.12 | 6.60x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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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