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 →
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.
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 | $52.40 | $29.39 | 1.78x | $23.01 | $340.9K | 12.1K | 3.7K |
| 2015 | $59.25 | $36.42 | 1.63x | $22.83 | $351.2K | 12.2K | 4.1K |
| 2016 | $70.64 | $48.28 | 1.46x | $22.36 | $417.6K | 15.1K | 4.5K |
| 2017 | $71.39 | $49.27 | 1.45x | $22.12 | $506.7K | 16.0K | 5.7K |
| 2018 | $72.20 | $49.19 | 1.47x | $23.01 | $530.0K | 16.4K | 6.1K |
| 2019 | $76.15 | $52.48 | 1.45x | $23.67 | $571.0K | 15.9K | 5.8K |
| 2020 | $80.17 | $54.77 | 1.46x | $25.40 | $529.8K | 12.7K | 6.1K |
| 2021 | $81.56 | $57.93 | 1.41x | $23.63 | $524.5K | 10.8K | 5.5K |
| 2022 | $87.12 | $60.92 | 1.43x | $26.20 | $498.3K | 10.4K | 5.3K |
| 2023 | $79.06 | $55.28 | 1.43x | $23.78 | $538.7K | 11.8K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 46.3K | $3.0M | $65.01 | 1.43x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.1K | $837.7K | $136.57 | 1.11x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 5.4K | $116.6K | $21.68 | 1.50x |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 33.7K | $107.8K | $3.20 | 1.56x |
| 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 imple | 2.1K | $95.5K | $46.29 | 1.94x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 410 | $74.7K | $182.30 | 1.10x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 415 | $74.7K | $180.00 | 1.10x |
| 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 im | 2.0K | $71.5K | $36.13 | 1.94x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 780 | $51.4K | $65.94 | 1.44x |
| 36415 | Insertion of needle into vein for collection of blood sample | 15.4K | $48.9K | $3.17 | 1.58x |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 5.3K | $46.3K | $8.65 | 3.47x |
| 97035 | Application of ultrasound to 1 or more areas, each 15 minutes | 5.2K | $44.8K | $8.57 | 3.50x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.1K | $42.3K | $13.44 | 2.61x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 470 | $41.7K | $88.62 | 1.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 445 | $38.9K | $87.32 | 1.50x |
| 93040 | Tracing of electrical activity of heart using 1-3 leads with interpretation and report | 3.2K | $33.1K | $10.36 | 2.41x |
| G0008 | Administration of influenza virus vaccine | 654 | $16.9K | $25.87 | 1.16x |
| 97001 | Physical therapy evaluation | 191 | $11.5K | $60.26 | 1.66x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 150 | $9.9K | $66.31 | 1.51x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 249 | $9.1K | $36.66 | 1.50x |
This provider submits charges 1.45 times higher than what Medicare actually pays.
A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. 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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