This provider's $21.1M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 17761% from 2014 to 2023.
80% of their billing comes from a single procedure code (Q4236 — Carepatch, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2076% in 2022
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 | $235.32 | $115.50 | 2.04x | $119.82 | $106.6K | 923 | 7 |
| 2015 | $234.12 | $122.74 | 1.91x | $111.38 | $83.7K | 682 | 5 |
| 2016 | $238.49 | $124.42 | 1.92x | $114.07 | $89.0K | 715 | 4 |
| 2017 | $230.52 | $119.15 | 1.93x | $111.37 | $77.9K | 654 | 5 |
| 2018 | $226.60 | $111.80 | 2.03x | $114.80 | $43.7K | 391 | 4 |
| 2019 | $240.23 | $130.18 | 1.85x | $110.05 | $63.8K | 490 | 4 |
| 2020 | $229.95 | $127.29 | 1.81x | $102.66 | $48.0K | 377 | 4 |
| 2021 | $246.82 | $143.15 | 1.72x | $103.67 | $70.0K | 489 | 4 |
| 2022 | $483.99 | $278.43 | 1.74x | $205.56 | $1.5M | 5.5K | 21 |
| 2023 | $1.0K | $687.27 | 1.50x | $347.07 | $19.0M | 27.7K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 17.2K | $16.7M | $971.22 | 1.35x |
| Q4188 | Amnioarmor, per square centimeter | 3.0K | $1.8M | $608.28 | 1.28x |
| 97610 | Therapy procedure using ultrasound | 1.4K | $595.7K | $417.72 | 3.95x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 2.9K | $380.4K | $133.23 | 1.88x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 3.5K | $374.1K | $106.48 | 3.76x |
| 99337 | Established patient custodial care facility, group care, or assisted living visit, typically 1 hour | 1.8K | $250.6K | $142.61 | 1.89x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 1.0K | $203.5K | $199.29 | 2.56x |
| Q4158 | Kerecis omega3, per square centimeter | 397 | $186.7K | $470.40 | 1.28x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 1.2K | $151.4K | $130.84 | 3.40x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 519 | $69.8K | $134.58 | 1.56x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 318 | $36.2K | $113.84 | 3.90x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 569 | $35.5K | $62.36 | 2.59x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 242 | $33.2K | $137.14 | 3.43x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 501 | $32.4K | $64.66 | 4.04x |
| 11044 | Removal of bone, 20.0 sq cm or less | 101 | $27.2K | $268.92 | 2.59x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 205 | $22.6K | $110.43 | 2.40x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 357 | $21.2K | $59.32 | 3.78x |
| 15274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 245 | $17.9K | $72.89 | 3.88x |
| 17250 | Application of chemical to stop tissue regrowth in wound | 221 | $13.8K | $62.54 | 3.02x |
| 11047 | Removal of bone, each additional 20.0 sq cm or less | 123 | $12.6K | $102.36 | 2.67x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. 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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