This provider's $4.9M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
Medicare payments to this provider grew 6053% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1403% in 2018
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 | $188.10 | $76.09 | 2.47x | $112.01 | $17.7K | 228 | 109 |
| 2015 | $200.00 | $92.56 | 2.16x | $107.44 | $3.2K | 35 | 19 |
| 2016 | $225.00 | $96.26 | 2.34x | $128.74 | $13.2K | 145 | 67 |
| 2017 | $172.00 | $78.69 | 2.19x | $93.31 | $25.3K | 322 | 141 |
| 2018 | $188.92 | $101.16 | 1.87x | $87.76 | $380.8K | 3.6K | 2.7K |
| 2019 | $208.26 | $93.37 | 2.23x | $114.89 | $852.9K | 10.0K | 5.6K |
| 2020 | $189.82 | $90.25 | 2.10x | $99.57 | $1.2M | 13.8K | 7.7K |
| 2021 | $166.67 | $75.78 | 2.20x | $90.89 | $511.9K | 6.0K | 3.7K |
| 2022 | $177.69 | $86.18 | 2.06x | $91.51 | $828.0K | 9.1K | 5.7K |
| 2023 | $190.91 | $79.90 | 2.39x | $111.01 | $1.1M | 13.0K | 6.6K |
| 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 | 17.0K | $1.5M | $87.53 | 1.76x |
| 99354 | Prolonged office or other outpatient service first hour | 6.4K | $703.7K | $109.98 | 1.69x |
| 99350 | Established patient home visit, typically 60 minutes | 2.6K | $377.6K | $147.54 | 2.00x |
| 99349 | Established patient home visit, typically 40 minutes | 3.0K | $321.9K | $108.78 | 1.71x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.7K | $274.5K | $74.77 | 1.70x |
| 99345 | New patient home visit, typically 75 minutes | 1.7K | $272.4K | $160.70 | 2.31x |
| 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 | 5.3K | $232.7K | $43.62 | 1.84x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $195.5K | $131.18 | 3.18x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 843 | $152.1K | $180.41 | 1.32x |
| 99344 | New patient home visit, typically 60 minutes | 948 | $136.9K | $144.44 | 1.85x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 887 | $117.8K | $132.81 | 1.40x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $105.8K | $87.91 | 2.97x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 741 | $85.4K | $115.19 | 1.65x |
| 99348 | Established patient home visit, typically 25 minutes | 1.1K | $77.7K | $70.56 | 1.71x |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif | 2.3K | $60.0K | $25.87 | 2.70x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 726 | $55.0K | $75.81 | 1.61x |
| 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 | 1.6K | $54.8K | $35.09 | 2.05x |
| 93922 | Ultrasound study of arteries of both arms and legs | 693 | $54.0K | $77.87 | 1.65x |
| 99407 | Smoking and tobacco use intensive counseling, greater than 10 minutes | 1.4K | $41.3K | $30.33 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 445 | $29.9K | $67.14 | 2.35x |
This provider submits charges 1.89 times higher than what Medicare actually pays.
A markup ratio of 1.89x means for every $100 Medicare pays, this provider initially charges $189. 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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