This provider averages 77 services per working day
Based on 193.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
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 | $61.06 | $39.45 | 1.55x | $21.61 | $422.5K | 17.7K | 4.4K |
| 2015 | $59.02 | $38.25 | 1.54x | $20.77 | $515.0K | 22.7K | 5.1K |
| 2016 | $59.35 | $37.52 | 1.58x | $21.83 | $443.4K | 19.9K | 5.0K |
| 2017 | $59.26 | $35.86 | 1.65x | $23.40 | $435.3K | 19.6K | 5.0K |
| 2018 | $59.29 | $35.15 | 1.69x | $24.14 | $484.7K | 22.2K | 5.4K |
| 2019 | $60.06 | $36.79 | 1.63x | $23.27 | $560.9K | 23.1K | 5.2K |
| 2020 | $70.12 | $42.46 | 1.65x | $27.66 | $382.0K | 16.4K | 3.7K |
| 2021 | $69.26 | $45.25 | 1.53x | $24.01 | $374.8K | 14.2K | 3.4K |
| 2022 | $63.16 | $45.22 | 1.40x | $17.94 | $405.2K | 16.4K | 3.6K |
| 2023 | $62.88 | $43.66 | 1.44x | $19.22 | $528.3K | 21.0K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.1K | $945.5K | $62.73 | 1.44x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 34.9K | $780.6K | $22.35 | 1.68x |
| 97035 | Application of ultrasound to 1 or more areas, each 15 minutes | 38.0K | $334.8K | $8.81 | 1.81x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $267.5K | $90.88 | 1.44x |
| 97012 | Application of mechanical traction to 1 or more areas | 24.6K | $249.3K | $10.13 | 1.87x |
| 97162 | Evaluation of physical therapy, typically 30 minutes | 3.3K | $239.2K | $72.79 | 1.43x |
| 97032 | Application of electrical stimulation to 1 or more areas, each 15 minutes | 20.7K | $225.4K | $10.89 | 1.86x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.3K | $167.2K | $50.60 | 1.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $135.5K | $41.22 | 1.36x |
| 20553 | Injections of trigger points in 3 or more muscles | 2.1K | $115.2K | $54.01 | 1.41x |
| 97001 | Physical therapy evaluation | 1.7K | $107.3K | $61.51 | 1.45x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 2.6K | $101.8K | $39.27 | 1.62x |
| 12002 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs | 1.1K | $101.1K | $94.22 | 1.80x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.2K | $97.3K | $15.81 | 1.75x |
| 94640 | Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen | 6.0K | $83.0K | $13.82 | 1.52x |
| 97124 | Therapeutic massage to 1 or more areas, each 15 minutes | 4.5K | $78.8K | $17.41 | 1.81x |
| 69210 | Removal of impact ear wax, one ear | 1.8K | $73.7K | $40.85 | 1.54x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 1.7K | $69.7K | $40.95 | 1.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 499 | $66.4K | $133.16 | 1.40x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 2.6K | $66.1K | $25.56 | 2.51x |
This provider submits charges 1.63 times higher than what Medicare actually pays.
A markup ratio of 1.63x means for every $100 Medicare pays, this provider initially charges $163. 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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