This provider averages 102 services per working day
Based on 255.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 102 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 | $134.20 | $37.21 | 3.61x | $96.99 | $887.9K | 31.8K | 15.3K |
| 2015 | $124.24 | $36.24 | 3.43x | $88.00 | $858.6K | 31.9K | 14.8K |
| 2016 | $129.22 | $41.76 | 3.09x | $87.46 | $1.1M | 35.7K | 16.8K |
| 2017 | $128.68 | $41.48 | 3.10x | $87.20 | $1.1M | 39.1K | 16.9K |
| 2018 | $110.90 | $42.45 | 2.61x | $68.45 | $959.9K | 34.7K | 16.0K |
| 2019 | $133.40 | $52.67 | 2.53x | $80.73 | $972.6K | 32.5K | 15.6K |
| 2020 | $158.51 | $65.97 | 2.40x | $92.54 | $637.0K | 10.5K | 6.9K |
| 2021 | $166.13 | $73.99 | 2.25x | $92.14 | $715.9K | 13.3K | 7.4K |
| 2022 | $161.86 | $71.12 | 2.28x | $90.74 | $692.0K | 12.1K | 7.1K |
| 2023 | $185.18 | $76.43 | 2.42x | $108.75 | $789.3K | 13.6K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 24.5K | $2.0M | $82.28 | 1.70x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 7.8K | $891.9K | $114.96 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.6K | $587.3K | $55.19 | 1.78x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 4.3K | $530.6K | $122.94 | 2.03x |
| 93923 | Ultrasound study of arteries of both arms and legs | 3.9K | $431.2K | $110.57 | 2.63x |
| 82306 | Vitamin D-3 level | 8.3K | $312.7K | $37.63 | 3.05x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 8.2K | $300.9K | $36.49 | 3.54x |
| 83090 | Homocysteine (amino acid) level | 9.3K | $200.6K | $21.50 | 3.73x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 994 | $199.7K | $200.93 | 1.59x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 8.8K | $188.0K | $21.42 | 3.55x |
| 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 | 2.0K | $166.2K | $84.46 | 2.16x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 252 | $161.2K | $639.78 | 2.50x |
| 84480 | Thyroid hormone, T3 measurement | 7.4K | $132.5K | $18.03 | 3.88x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 9.4K | $125.2K | $13.34 | 4.75x |
| 80053 | Blood test, comprehensive group of blood chemicals | 10.2K | $124.4K | $12.25 | 5.32x |
| 83721 | LDL cholesterol level | 9.4K | $113.8K | $12.16 | 3.22x |
| 90670 | Pneumococcal vaccine for injection into muscle | 589 | $110.3K | $187.23 | 1.19x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.5K | $108.1K | $42.65 | 5.58x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 659 | $103.3K | $156.68 | 2.20x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 8.8K | $86.8K | $9.89 | 4.71x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. This is higher 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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