This provider's $3.5M 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.
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 | $150.00 | $83.24 | 1.80x | $66.76 | $287.0K | 3.6K | 1.7K |
| 2015 | $150.00 | $82.85 | 1.81x | $67.15 | $325.2K | 4.0K | 1.8K |
| 2016 | $150.00 | $84.40 | 1.78x | $65.60 | $307.6K | 3.7K | 1.7K |
| 2017 | $155.00 | $89.79 | 1.73x | $65.21 | $378.4K | 4.6K | 2.2K |
| 2018 | $153.37 | $81.66 | 1.88x | $71.71 | $377.8K | 4.9K | 2.1K |
| 2019 | $155.00 | $86.29 | 1.80x | $68.71 | $410.9K | 4.8K | 2.2K |
| 2020 | $155.00 | $88.69 | 1.75x | $66.31 | $369.4K | 4.4K | 1.8K |
| 2021 | $163.41 | $94.08 | 1.74x | $69.33 | $367.4K | 4.2K | 2.0K |
| 2022 | $170.83 | $92.59 | 1.85x | $78.24 | $377.7K | 3.9K | 2.1K |
| 2023 | $170.83 | $105.24 | 1.62x | $65.59 | $323.9K | 2.8K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 22.5K | $1.4M | $61.48 | 1.99x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 8.1K | $1.2M | $149.24 | 1.63x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 4.8K | $458.9K | $96.55 | 1.71x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 4.8K | $414.0K | $86.24 | 1.83x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 314 | $42.4K | $135.04 | 1.43x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 418 | $16.5K | $39.56 | 2.27x |
This provider submits charges 1.81 times higher than what Medicare actually pays.
A markup ratio of 1.81x means for every $100 Medicare pays, this provider initially charges $181. 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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