This provider averages 54 services per working day
Based on 134.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 336% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 98% in 2015
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 | $82.00 | $36.07 | 2.27x | $45.93 | $184.8K | 6.5K | 4.3K |
| 2015 | $84.33 | $36.46 | 2.31x | $47.87 | $366.3K | 10.4K | 6.0K |
| 2016 | $105.11 | $47.17 | 2.23x | $57.94 | $388.0K | 11.1K | 6.6K |
| 2017 | $105.83 | $45.67 | 2.32x | $60.16 | $508.3K | 13.4K | 7.5K |
| 2018 | $98.67 | $43.87 | 2.25x | $54.80 | $542.2K | 13.7K | 7.3K |
| 2019 | $119.94 | $53.84 | 2.23x | $66.10 | $646.4K | 15.5K | 7.6K |
| 2020 | $99.68 | $43.80 | 2.28x | $55.88 | $633.0K | 15.4K | 7.5K |
| 2021 | $96.86 | $45.64 | 2.12x | $51.22 | $774.5K | 16.6K | 7.9K |
| 2022 | $102.51 | $45.78 | 2.24x | $56.73 | $785.3K | 15.7K | 7.1K |
| 2023 | $104.45 | $47.88 | 2.18x | $56.57 | $805.4K | 16.2K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.4K | $2.4M | $88.77 | 2.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.9K | $529.4K | $53.62 | 3.00x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 3.3K | $410.7K | $126.09 | 1.78x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.4K | $278.6K | $81.39 | 2.46x |
| 76705 | Ultrasound of abdomen | 3.0K | $217.3K | $71.35 | 2.79x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.5K | $213.8K | $38.59 | 2.59x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 907 | $160.0K | $176.41 | 2.35x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 625 | $127.5K | $203.93 | 2.10x |
| 90670 | Pneumococcal vaccine for injection into muscle | 731 | $125.9K | $172.26 | 1.24x |
| 83036 | Hemoglobin A1C level | 6.9K | $77.7K | $11.23 | 3.12x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 4.6K | $66.7K | $14.56 | 3.07x |
| G0008 | Administration of influenza virus vaccine | 2.6K | $61.8K | $24.09 | 1.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 436 | $55.3K | $126.76 | 2.01x |
| G0444 | Annual depression screening, 15 minutes | 2.6K | $49.6K | $19.20 | 1.65x |
| 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 | 529 | $46.4K | $87.79 | 2.24x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 388 | $41.2K | $106.13 | 2.74x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 6.8K | $40.4K | $5.91 | 3.21x |
| 96116 | Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour | 529 | $38.9K | $73.57 | 2.38x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.0K | $34.1K | $33.92 | 2.24x |
| 90694 | Influenza virus vaccine, quadrivalent (aiiv4), inactivated, adjuvanted, preservative free, for injection into muscle, 0.5 ml dosage | 453 | $32.3K | $71.35 | 1.11x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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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