Statistical flag only — not an accusation of fraud
This provider's $21.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 2471% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 67/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 440% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $185.99 | $89.53 | 2.08x | $96.46 | $506.3K | 5.7K | 33 |
| 2015 | $201.90 | $89.66 | 2.25x | $112.24 | $509.3K | 5.7K | 30 |
| 2016 | $203.40 | $83.87 | 2.43x | $119.53 | $430.1K | 5.1K | 26 |
| 2017 | $190.03 | $76.79 | 2.47x | $113.24 | $402.6K | 5.2K | 30 |
| 2018 | $189.75 | $75.27 | 2.52x | $114.48 | $368.1K | 4.9K | 30 |
| 2019 | $169.05 | $68.24 | 2.48x | $100.81 | $355.5K | 5.2K | 35 |
| 2020 | $147.42 | $66.23 | 2.23x | $81.19 | $468.5K | 7.1K | 35 |
| 2021 | $225.23 | $84.60 | 2.66x | $140.63 | $837.3K | 9.9K | 40 |
| 2022 | $476.39 | $235.93 | 2.02x | $240.46 | $4.5M | 19.2K | 48 |
| 2023 | $922.58 | $611.56 | 1.51x | $311.02 | $13.0M | 21.3K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 11.9K | $11.4M | $960.27 | 1.36x |
| Q4158 | Kerecis omega3, per square centimeter | 4.6K | $2.2M | $473.34 | 1.27x |
| Q4188 | Amnioarmor, per square centimeter | 2.3K | $1.4M | $598.13 | 1.28x |
| 97610 | Therapy procedure using ultrasound | 1.8K | $728.8K | $401.79 | 4.11x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 6.4K | $684.2K | $107.68 | 2.27x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.0K | $421.2K | $60.35 | 2.43x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 2.1K | $375.0K | $182.31 | 2.80x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 3.1K | $322.4K | $104.41 | 3.83x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.6K | $293.7K | $80.62 | 2.43x |
| 99310 | Follow-up nursing facility visit per day, typically 35 minutes | 2.7K | $277.0K | $103.28 | 2.72x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1.5K | $263.1K | $172.89 | 2.58x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2.6K | $219.6K | $84.52 | 2.84x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 1.4K | $213.0K | $157.44 | 2.21x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 1.2K | $190.8K | $155.74 | 2.41x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 2.7K | $177.4K | $66.08 | 3.95x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.9K | $136.4K | $47.84 | 1.36x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 2.9K | $118.7K | $40.78 | 1.59x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 3.2K | $117.4K | $36.83 | 2.31x |
| 11044 | Removal of bone, 20.0 sq cm or less | 438 | $115.0K | $262.59 | 2.65x |
| 76700 | Complete ultrasound scan of abdomen | 1.2K | $114.2K | $97.43 | 2.30x |
This provider submits charges 1.78 times higher than what Medicare actually pays.
A markup ratio of 1.78x means for every $100 Medicare pays, this provider initially charges $178. 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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