This provider's $6.0M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 1874% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 583% in 2017
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 | $110.65 | $30.48 | 3.63x | $80.17 | $95.9K | 3.0K | 1.2K |
| 2015 | $113.65 | $38.09 | 2.98x | $75.56 | $56.2K | 1.8K | 957 |
| 2016 | $110.67 | $42.53 | 2.60x | $68.14 | $46.5K | 1.4K | 731 |
| 2017 | $180.23 | $84.22 | 2.14x | $96.01 | $317.5K | 3.9K | 2.4K |
| 2018 | $139.60 | $53.52 | 2.61x | $86.08 | $98.6K | 2.1K | 1.2K |
| 2019 | $94.75 | $43.06 | 2.20x | $51.69 | $400.4K | 5.7K | 2.7K |
| 2020 | $106.60 | $53.42 | 2.00x | $53.18 | $519.8K | 7.4K | 3.2K |
| 2021 | $119.55 | $71.62 | 1.67x | $47.93 | $1.1M | 13.9K | 7.5K |
| 2022 | $120.11 | $68.59 | 1.75x | $51.52 | $1.5M | 18.7K | 9.1K |
| 2023 | $109.29 | $65.91 | 1.66x | $43.38 | $1.9M | 24.1K | 11.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 34.3K | $3.0M | $86.22 | 2.05x |
| 99350 | Established patient home visit, typically 60 minutes | 5.2K | $768.3K | $148.23 | 1.75x |
| 99345 | New patient home visit, typically 75 minutes | 2.6K | $433.2K | $168.61 | 1.86x |
| 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 implem | 8.9K | $398.1K | $44.75 | 2.04x |
| 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 imp | 8.5K | $300.8K | $35.25 | 1.98x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.0K | $231.3K | $76.99 | 1.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.5K | $225.3K | $49.92 | 3.24x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.0K | $184.9K | $179.99 | 1.43x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.0K | $140.1K | $139.70 | 1.38x |
| 99349 | Established patient home visit, typically 40 minutes | 663 | $66.6K | $100.48 | 1.74x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time per calendar month | 952 | $43.5K | $45.72 | 1.83x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 195 | $39.1K | $200.77 | 1.28x |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 755 | $35.4K | $46.93 | 1.75x |
| 99473 | Self-measured blood pressure; patient education/training and device calibration | 3.1K | $35.1K | $11.32 | 1.64x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 567 | $22.3K | $39.32 | 1.50x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 602 | $19.1K | $31.65 | 4.19x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 128 | $18.2K | $142.02 | 2.18x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 171 | $14.3K | $83.64 | 2.03x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 130 | $13.3K | $102.12 | 1.73x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.0K | $9.5K | $3.16 | 4.75x |
This provider submits charges 1.99 times higher than what Medicare actually pays.
A markup ratio of 1.99x means for every $100 Medicare pays, this provider initially charges $199. 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 General Practice providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jack Azad, M.D. | Los Angeles, CA | $34.5M | ⚠️ 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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