This provider's $6.1M 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.
Notable: Payments increased 76% in 2018
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 | $310.23 | $82.64 | 3.75x | $227.59 | $653.7K | 9.7K | 6.0K |
| 2015 | $344.11 | $90.42 | 3.81x | $253.69 | $438.8K | 6.3K | 4.4K |
| 2016 | $335.72 | $85.85 | 3.91x | $249.87 | $544.6K | 8.7K | 5.2K |
| 2017 | $335.72 | $82.33 | 4.08x | $253.39 | $307.6K | 4.6K | 3.6K |
| 2018 | $365.25 | $84.56 | 4.32x | $280.69 | $540.6K | 8.3K | 5.4K |
| 2019 | $365.34 | $80.32 | 4.55x | $285.02 | $665.6K | 10.7K | 6.2K |
| 2020 | $354.74 | $81.85 | 4.33x | $272.89 | $628.7K | 9.2K | 5.4K |
| 2021 | $290.31 | $74.84 | 3.88x | $215.47 | $729.9K | 10.2K | 6.1K |
| 2022 | $216.89 | $65.99 | 3.29x | $150.90 | $722.0K | 11.7K | 5.9K |
| 2023 | $285.84 | $76.72 | 3.73x | $209.12 | $844.7K | 13.4K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.9K | $1.2M | $69.14 | 1.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.6K | $1.0M | $96.46 | 1.66x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.1K | $855.7K | $403.05 | 1.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $786.5K | $165.82 | 5.43x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.6K | $318.5K | $88.34 | 3.96x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.3K | $260.1K | $59.83 | 5.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $221.0K | $139.68 | 1.43x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.3K | $180.9K | $13.56 | 7.36x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.5K | $169.8K | $113.43 | 2.47x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 3.2K | $154.2K | $48.79 | 3.07x |
| 99407 | Smoking and tobacco use intensive counseling, greater than 10 minutes | 5.1K | $143.9K | $28.18 | 1.77x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.4K | $143.3K | $60.90 | 2.05x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.4K | $127.6K | $92.47 | 1.41x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.0K | $75.8K | $72.54 | 5.51x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 332 | $71.5K | $215.22 | 1.39x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.4K | $69.0K | $49.18 | 1.63x |
| 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 | 1.5K | $66.4K | $43.34 | 1.38x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 234 | $58.8K | $251.20 | 7.84x |
| 99091 | Collection and interpretation of physical parameters stored in computers and/or transmitted by the patient and/or caregiver to qualified health care professional, requiring 30 minutes or more, per 30 days | 1.2K | $53.8K | $45.88 | 2.18x |
| 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 | 1.1K | $36.9K | $34.70 | 1.44x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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