This provider's $4.8M 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 56% 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 | $128.60 | $76.32 | 1.69x | $52.28 | $457.1K | 5.7K | 1.4K |
| 2015 | $141.17 | $79.17 | 1.78x | $62.00 | $513.6K | 6.5K | 1.3K |
| 2016 | $142.54 | $80.74 | 1.77x | $61.80 | $435.6K | 5.7K | 1.1K |
| 2017 | $142.15 | $84.67 | 1.68x | $57.48 | $450.5K | 5.8K | 1.1K |
| 2018 | $143.53 | $83.24 | 1.72x | $60.29 | $388.9K | 5.0K | 1.1K |
| 2019 | $128.80 | $74.93 | 1.72x | $53.87 | $346.5K | 4.5K | 965 |
| 2020 | $194.69 | $94.29 | 2.06x | $100.40 | $540.6K | 5.4K | 880 |
| 2021 | $208.28 | $100.05 | 2.08x | $108.23 | $495.5K | 5.1K | 893 |
| 2022 | $200.49 | $96.46 | 2.08x | $104.03 | $505.4K | 5.8K | 1.0K |
| 2023 | $178.72 | $88.38 | 2.02x | $90.34 | $684.2K | 6.5K | 928 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 32.0K | $2.4M | $73.43 | 2.19x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 10.5K | $1.2M | $114.35 | 2.16x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 6.3K | $530.3K | $83.96 | 1.76x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.1K | $284.6K | $134.11 | 1.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $168.1K | $75.07 | 1.63x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 722 | $114.9K | $159.11 | 1.67x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 490 | $55.9K | $114.00 | 1.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 686 | $39.8K | $57.99 | 2.18x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 261 | $33.3K | $127.75 | 1.59x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 182 | $15.1K | $82.87 | 1.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 76 | $8.1K | $106.82 | 2.59x |
| 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 | 156 | $6.8K | $43.45 | 3.45x |
| 99239 | Hospital discharge day management, more than 30 minutes | 49 | $4.1K | $84.10 | 1.40x |
| 90662 | Vaccine for influenza for injection into muscle | 37 | $2.4K | $63.62 | 1.05x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 30 | $2.0K | $67.16 | 1.87x |
| G0008 | Administration of influenza virus vaccine | 130 | $1.3K | $9.80 | 1.02x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 76 | $1.2K | $16.12 | 2.79x |
| G0179 | Physician re-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 im | 24 | $845.26 | $35.22 | 3.55x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 67 | $804.17 | $12.00 | 6.25x |
| 36415 | Insertion of needle into vein for collection of blood sample | 30 | $88.20 | $2.94 | 5.10x |
This provider submits charges 2.07 times higher than what Medicare actually pays.
A markup ratio of 2.07x means for every $100 Medicare pays, this provider initially charges $207. 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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