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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Armine Nazaryan
🩺
MDIndividual

Armine Nazaryan, M.D.

NPI: 1972505444
Glendale, CA
10 years of data
General Practice
$4.8M
Total Payments
52.8K
Beneficiaries
133.5K
Services
1.45x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.8M
Specialty median$58.9K

📋 Key Findings

1Billed $4.8M over 10 years
299th percentile in General Practice by payments
353 services/day — unusually high
42 procedures with >3x markup

This provider averages 53 services per working day

Based on 133.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $4.8M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.

Averaging 53 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 58% from 2014 to 2023.

63% of their billing comes from a single procedure code (99213 — Established patient office or other outpatient visit, typically 15 minutes).

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$52.40$29.391.78x$23.01$340.9K12.1K3.7K
2015$59.25$36.421.63x$22.83$351.2K12.2K4.1K
2016$70.64$48.281.46x$22.36$417.6K15.1K4.5K
2017$71.39$49.271.45x$22.12$506.7K16.0K5.7K
2018$72.20$49.191.47x$23.01$530.0K16.4K6.1K
2019$76.15$52.481.45x$23.67$571.0K15.9K5.8K
2020$80.17$54.771.46x$25.40$529.8K12.7K6.1K
2021$81.56$57.931.41x$23.63$524.5K10.8K5.5K
2022$87.12$60.921.43x$26.20$498.3K10.4K5.3K
2023$79.06$55.281.43x$23.78$538.7K11.8K5.9K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes
$3.0M
46.3K services$65.01/svc1.43x markup
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$837.7K
6.1K services$136.57/svc1.11x markup
97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes
$116.6K
5.4K services$21.68/svc1.50x markup
82962Blood glucose (sugar) test performed by hand-held instrument
$107.8K
33.7K services$3.20/svc1.56x markup
G0180Physician 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 imple
$95.5K
2.1K services$46.29/svc1.94x markup
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
$74.7K
410 services$182.30/svc1.10x markup
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
$74.7K
415 services$180.00/svc1.10x markup
G0179Physician 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 im
$71.5K
2.0K services$36.13/svc1.94x markup
99442Physician telephone patient service, 11-20 minutes of medical discussion
$51.4K
780 services$65.94/svc1.44x markup
36415Insertion of needle into vein for collection of blood sample
$48.9K
15.4K services$3.17/svc1.58x markup
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care⚠ 3.5x markup
$46.3K
5.3K services$8.65/svc3.47x markup
97035Application of ultrasound to 1 or more areas, each 15 minutes⚠ 3.5x markup
$44.8K
5.2K services$8.57/svc3.50x markup
93000Routine EKG using at least 12 leads including interpretation and report
$42.3K
3.1K services$13.44/svc2.61x markup
99203New patient office or other outpatient visit, typically 30 minutes
$41.7K
470 services$88.62/svc1.76x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$38.9K
445 services$87.32/svc1.50x markup
93040Tracing of electrical activity of heart using 1-3 leads with interpretation and report
$33.1K
3.2K services$10.36/svc2.41x markup
G0008Administration of influenza virus vaccine
$16.9K
654 services$25.87/svc1.16x markup
97001Physical therapy evaluation
$11.5K
191 services$60.26/svc1.66x markup
97161Evaluation of physical therapy, typically 20 minutes
$9.9K
150 services$66.31/svc1.51x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$9.1K
249 services$36.66/svc1.50x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes46.3K$3.0M$65.011.43x
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6.1K$837.7K$136.571.11x
97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes5.4K$116.6K$21.681.50x
82962Blood glucose (sugar) test performed by hand-held instrument33.7K$107.8K$3.201.56x
G0180Physician 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 imple2.1K$95.5K$46.291.94x
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit410$74.7K$182.301.10x
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment415$74.7K$180.001.10x
G0179Physician 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 im2.0K$71.5K$36.131.94x
99442Physician telephone patient service, 11-20 minutes of medical discussion780$51.4K$65.941.44x
36415Insertion of needle into vein for collection of blood sample15.4K$48.9K$3.171.58x
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care5.3K$46.3K$8.653.47x
97035Application of ultrasound to 1 or more areas, each 15 minutes5.2K$44.8K$8.573.50x
93000Routine EKG using at least 12 leads including interpretation and report3.1K$42.3K$13.442.61x
99203New patient office or other outpatient visit, typically 30 minutes470$41.7K$88.621.76x
99214Established patient office or other outpatient, visit typically 25 minutes445$38.9K$87.321.50x
93040Tracing of electrical activity of heart using 1-3 leads with interpretation and report3.2K$33.1K$10.362.41x
G0008Administration of influenza virus vaccine654$16.9K$25.871.16x
97001Physical therapy evaluation191$11.5K$60.261.66x
97161Evaluation of physical therapy, typically 20 minutes150$9.9K$66.311.51x
99212Established patient office or other outpatient visit, typically 10 minutes249$9.1K$36.661.50x

Markup Analysis

Charge-to-Payment Ratio

1.45x

This provider submits charges 1.45 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. This is lower than the national average.

Location

Glendale, 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 General Practice providers in CA for peer comparison.

Armine Nazaryan (you)
$4.8M
Jack Azad, M.D.⚠️
$34.5M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Jack Azad, M.D.Los Angeles, CA$34.5M⚠️ 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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