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Methodology•Download Data
  1. Home
  2. Providers
  3. Payam Shadi
🩺
MDIndividual

Payam Shadi, M.D.

NPI: 1780615724
Los Angeles, CA
10 years of data
Internal Medicine
$9.6M
Total Payments
43.3K
Beneficiaries
147.4K
Services
3.76x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.6M
Specialty median$84.0K

📋 Key Findings

1Billed $9.6M over 10 years
23.76x markup ratio (above median)
399th percentile in Internal Medicine by payments
459 services/day — unusually high
59 procedures with >3x markup

This provider averages 59 services per working day

Based on 147.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $9.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.

Averaging 59 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$324.32$95.293.40x$229.03$884.8K14.5K4.6K
2015$317.89$96.393.30x$221.50$938.2K14.7K4.8K
2016$320.49$96.473.32x$224.02$934.1K15.1K4.8K
2017$308.01$93.523.29x$214.49$799.1K13.1K4.4K
2018$245.37$77.803.15x$167.57$834.9K13.6K3.8K
2019$237.58$77.123.08x$160.46$1.0M15.8K4.5K
2020$244.54$81.503.00x$163.04$1.1M17.2K4.2K
2021$282.52$98.672.86x$183.85$1.0M14.7K3.9K
2022$285.29$93.733.04x$191.56$1.1M15.5K4.2K
2023$315.83$105.273.00x$210.56$1.1M13.1K4.0K

Top Procedures (20)

99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 4.5x markup
$3.2M
50.9K services$61.91/svc4.52x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.6M
16.4K services$95.25/svc2.63x markup
99222Initial hospital inpatient care, typically 50 minutes per day⚠ 3.7x markup
$1.0M
9.0K services$114.60/svc3.72x markup
99238Hospital discharge day management, 30 minutes or less⚠ 6.5x markup
$575.1K
9.2K services$62.50/svc6.50x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day⚠ 3.6x markup
$476.7K
5.4K services$88.14/svc3.59x markup
99310Subsequent nursing facility visit, typically 35 minutes per day
$419.6K
3.7K services$113.92/svc2.63x markup
97530Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes
$194.9K
6.2K services$31.32/svc1.34x markup
99495Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge
$185.3K
1.2K services$153.38/svc1.95x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$168.5K
996 services$169.14/svc2.75x markup
99490Chronic care management services at least 20 minutes per calendar month⚠ 3.4x markup
$154.6K
4.1K services$37.55/svc3.37x markup
99306Initial nursing facility visit, typically 45 minutes per day
$151.7K
1.1K services$139.65/svc2.86x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.3x markup
$143.2K
947 services$151.18/svc3.28x markup
97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
$126.6K
6.2K services$20.41/svc2.45x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$124.5K
941 services$132.31/svc2.65x markup
99239Hospital discharge day management, more than 30 minutes⚠ 5.4x markup
$116.2K
1.3K services$91.27/svc5.42x markup
97124Therapeutic massage to 1 or more areas, each 15 minutes
$110.4K
6.4K services$17.33/svc1.44x markup
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$90.0K
674 services$133.55/svc2.25x markup
99309Subsequent nursing facility visit, typically 25 minutes per day⚠ 3.4x markup
$78.1K
990 services$78.90/svc3.42x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$68.1K
385 services$176.83/svc2.83x markup
97032Application of electrical stimulation to 1 or more areas, each 15 minutes⚠ 13.6x markup
$65.1K
5.9K services$11.01/svc13.63x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99232Subsequent hospital inpatient care, typically 25 minutes per day50.9K$3.2M$61.914.52x
99214Established patient office or other outpatient, visit typically 25 minutes16.4K$1.6M$95.252.63x
99222Initial hospital inpatient care, typically 50 minutes per day9.0K$1.0M$114.603.72x
99238Hospital discharge day management, 30 minutes or less9.2K$575.1K$62.506.50x
99233Subsequent hospital inpatient care, typically 35 minutes per day5.4K$476.7K$88.143.59x
99310Subsequent nursing facility visit, typically 35 minutes per day3.7K$419.6K$113.922.63x
97530Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes6.2K$194.9K$31.321.34x
99495Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge1.2K$185.3K$153.381.95x
99223Initial hospital inpatient care, typically 70 minutes per day996$168.5K$169.142.75x
99490Chronic care management services at least 20 minutes per calendar month4.1K$154.6K$37.553.37x
99306Initial nursing facility visit, typically 45 minutes per day1.1K$151.7K$139.652.86x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function947$143.2K$151.183.28x
97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes6.2K$126.6K$20.412.45x
99215Established patient office or other outpatient, visit typically 40 minutes941$124.5K$132.312.65x
99239Hospital discharge day management, more than 30 minutes1.3K$116.2K$91.275.42x
97124Therapeutic massage to 1 or more areas, each 15 minutes6.4K$110.4K$17.331.44x
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit674$90.0K$133.552.25x
99309Subsequent nursing facility visit, typically 25 minutes per day990$78.1K$78.903.42x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck385$68.1K$176.832.83x
97032Application of electrical stimulation to 1 or more areas, each 15 minutes5.9K$65.1K$11.0113.63x

Markup Analysis

Charge-to-Payment Ratio

3.76x

This provider submits charges 3.76 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. This is higher than the national average.

Location

Los Angeles, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Internal Medicine providers in CA for peer comparison.

Payam Shadi (you)
$9.6M
Aaron Jeng, MD, MPH
$45.6M
Richard Park, M.D.⚠️
$34.7M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Aaron Jeng, MD, MPHSan Gabriel, CA$45.6M✓ Clear
Richard Park, M.D.Granada Hills, CA$34.7M⚠️ Flagged

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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