This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 4811% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1716% in 2020
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 | $607.50 | $115.91 | 5.24x | $491.59 | $33.1K | 298 | 265 |
| 2015 | $122.09 | $80.43 | 1.52x | $41.66 | $82.6K | 791 | 682 |
| 2016 | $423.45 | $92.91 | 4.56x | $330.54 | $23.1K | 233 | 178 |
| 2017 | $768.50 | $89.37 | 8.60x | $679.13 | $30.9K | 333 | 307 |
| 2018 | $776.94 | $95.38 | 8.15x | $681.56 | $16.9K | 175 | 152 |
| 2019 | $1.2K | $106.71 | 11.25x | $1.1K | $24.8K | 248 | 228 |
| 2020 | $187.59 | $77.84 | 2.41x | $109.75 | $450.5K | 6.5K | 2.7K |
| 2021 | $166.17 | $86.21 | 1.93x | $79.96 | $478.7K | 6.5K | 2.6K |
| 2022 | $206.38 | $96.71 | 2.13x | $109.67 | $743.5K | 10.1K | 4.4K |
| 2023 | $179.15 | $88.56 | 2.02x | $90.59 | $1.6M | 20.4K | 13.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.7K | $584.1K | $102.08 | 2.10x |
| 11750 | Removal of nail | 1.7K | $250.0K | $143.20 | 2.09x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $220.2K | $72.48 | 2.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $206.4K | $130.41 | 2.01x |
| 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 | 2.3K | $203.3K | $88.28 | 1.70x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 820 | $193.3K | $235.77 | 1.47x |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 2.6K | $174.2K | $66.39 | 1.47x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 2.6K | $100.5K | $39.33 | 3.81x |
| 96369 | Infusion into tissue for therapy or prevention, 1 hour or less | 762 | $97.7K | $128.20 | 2.73x |
| 11055 | Removal of single thickened skin growth | 2.4K | $87.8K | $36.90 | 2.03x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 480 | $84.3K | $175.70 | 1.75x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.9K | $77.3K | $40.54 | 1.85x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 428 | $75.0K | $175.24 | 1.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 557 | $70.1K | $125.92 | 2.48x |
| 93924 | Ultrasound of leg arteries at rest and after exercise | 506 | $69.8K | $137.90 | 1.45x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 2.8K | $66.2K | $23.67 | 3.38x |
| 93923 | Complete ultrasound study of arm and leg arteries | 505 | $59.6K | $118.00 | 1.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 316 | $51.7K | $163.67 | 2.36x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 218 | $48.5K | $222.50 | 1.43x |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 289 | $47.8K | $165.43 | 1.39x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. 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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