This provider's $4.7M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 17030% from 2021 to 2023.
87% of their billing comes from a single procedure code (Q4236 — Carepatch, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1400% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $125.21 | $87.05 | 1.44x | $38.16 | $25.2K | 289 | 7 |
| 2022 | $138.65 | $92.07 | 1.51x | $46.58 | $377.3K | 4.1K | 10 |
| 2023 | $864.55 | $619.93 | 1.39x | $244.62 | $4.3M | 7.0K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 4.7K | $4.1M | $871.31 | 1.38x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 1.8K | $202.1K | $110.00 | 1.45x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 1.0K | $99.4K | $99.12 | 1.62x |
| 99335 | Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes | 1.2K | $93.5K | $77.24 | 1.62x |
| 99337 | Established patient custodial care facility, group care, or assisted living visit, typically 1 hour | 257 | $41.1K | $160.05 | 1.41x |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 305 | $34.1K | $111.66 | 1.43x |
| 99497 | Advance care planning, first 30 minutes | 430 | $28.8K | $67.09 | 1.86x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 461 | $23.8K | $51.65 | 1.48x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 132 | $17.0K | $128.60 | 2.12x |
| 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 | 310 | $12.5K | $40.27 | 1.49x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 282 | $12.0K | $42.44 | 2.84x |
| 99327 | New patient custodial care facility, group care, or assisted living visit, typically 1 hour | 74 | $10.4K | $140.79 | 1.60x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 89 | $8.8K | $98.35 | 1.70x |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 94 | $5.6K | $59.28 | 1.43x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 35 | $4.2K | $120.88 | 1.86x |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 20 | $2.5K | $123.02 | 1.39x |
| 69210 | Removal of impacted ear wax | 51 | $2.1K | $40.67 | 1.35x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 28 | $1.8K | $65.02 | 3.54x |
This provider submits charges 1.4 times higher than what Medicare actually pays.
A markup ratio of 1.4x means for every $100 Medicare pays, this provider initially charges $140. 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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