This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 551% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 138% in 2016
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 | $203.24 | $85.94 | 2.36x | $117.30 | $151.6K | 1.8K | 1.1K |
| 2015 | $252.08 | $103.91 | 2.43x | $148.17 | $76.3K | 800 | 578 |
| 2016 | $219.83 | $84.36 | 2.61x | $135.47 | $181.9K | 2.1K | 1.0K |
| 2017 | $185.00 | $74.70 | 2.48x | $110.30 | $168.0K | 2.2K | 1.2K |
| 2018 | $153.72 | $63.65 | 2.42x | $90.07 | $286.4K | 3.8K | 2.0K |
| 2019 | $167.98 | $73.54 | 2.28x | $94.44 | $376.7K | 4.7K | 2.6K |
| 2020 | $190.23 | $88.24 | 2.16x | $101.99 | $446.2K | 5.4K | 3.0K |
| 2021 | $213.58 | $94.87 | 2.25x | $118.71 | $602.0K | 7.0K | 3.8K |
| 2022 | $175.83 | $79.11 | 2.22x | $96.72 | $887.5K | 11.9K | 4.9K |
| 2023 | $182.23 | $76.76 | 2.37x | $105.47 | $987.4K | 13.4K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.4K | $1.7M | $93.63 | 2.14x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 4.4K | $442.6K | $100.40 | 1.99x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.7K | $358.6K | $134.57 | 2.17x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1K | $209.6K | $182.77 | 2.18x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $193.0K | $63.48 | 2.36x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 4.6K | $192.2K | $41.93 | 2.39x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.8K | $141.2K | $49.96 | 3.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 954 | $115.2K | $120.71 | 1.66x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 3.3K | $112.2K | $33.99 | 2.65x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 529 | $72.8K | $137.69 | 1.82x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.0K | $72.3K | $35.37 | 2.83x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 392 | $66.6K | $169.79 | 2.06x |
| 99487 | Complex chronic care management services 60 minutes clinical staff time | 809 | $57.9K | $71.51 | 2.10x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 688 | $49.8K | $72.32 | 1.94x |
| 95816 | Measurement and recording of brain wave (eeg) activity, awake and drowsy | 119 | $42.3K | $355.72 | 2.53x |
| 95957 | Digital analysis of electrical brain wave activity (eeg) | 119 | $28.5K | $239.69 | 2.50x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 142 | $25.6K | $180.33 | 1.84x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 217 | $24.7K | $113.92 | 2.63x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 302 | $21.6K | $71.45 | 2.80x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.6K | $20.7K | $13.16 | 5.70x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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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