This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 836% from 2014 to 2023.
63% of their billing comes from a single procedure code (36482 — Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% in 2017
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 | $395.23 | $194.35 | 2.03x | $200.88 | $250.0K | 3.1K | 1.6K |
| 2015 | $336.67 | $143.89 | 2.34x | $192.78 | $198.5K | 2.8K | 1.3K |
| 2016 | $379.74 | $180.66 | 2.10x | $199.08 | $268.0K | 2.9K | 1.3K |
| 2017 | $400.53 | $211.31 | 1.90x | $189.22 | $561.5K | 3.7K | 1.7K |
| 2018 | $519.96 | $262.88 | 1.98x | $257.08 | $1.1M | 5.1K | 2.9K |
| 2019 | $525.50 | $265.53 | 1.98x | $259.97 | $1.7M | 5.4K | 2.7K |
| 2020 | $488.12 | $238.53 | 2.05x | $249.59 | $1.4M | 4.2K | 2.1K |
| 2021 | $438.08 | $217.35 | 2.02x | $220.73 | $1.1M | 5.1K | 2.3K |
| 2022 | $424.27 | $199.73 | 2.12x | $224.54 | $1.4M | 5.0K | 1.9K |
| 2023 | $384.60 | $177.95 | 2.16x | $206.65 | $2.3M | 5.5K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 3.7K | $6.3M | $1.7K | 1.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.6K | $1.0M | $61.25 | 1.54x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 469 | $681.9K | $1.5K | 1.65x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.9K | $433.0K | $109.83 | 1.82x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.3K | $411.9K | $319.05 | 2.98x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.9K | $341.9K | $175.61 | 1.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $192.5K | $118.47 | 1.69x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 338 | $140.8K | $416.65 | 2.88x |
| 45380 | Biopsy of large bowel using an endoscope | 229 | $89.4K | $390.45 | 2.51x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 538 | $72.5K | $134.70 | 1.74x |
| 76700 | Ultrasound of abdomen | 636 | $70.0K | $110.07 | 1.59x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.3K | $66.1K | $52.14 | 1.64x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 1.4K | $59.1K | $43.03 | 1.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 696 | $49.2K | $70.65 | 1.88x |
| G0008 | Administration of influenza virus vaccine | 1.2K | $29.2K | $24.93 | 1.40x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 326 | $26.4K | $80.83 | 2.16x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 681 | $22.9K | $33.63 | 1.78x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 394 | $19.5K | $49.41 | 1.62x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 308 | $18.0K | $58.31 | 2.58x |
| 90756 | Vaccine for influenza for injection into muscle | 546 | $14.0K | $25.69 | 1.56x |
This provider submits charges 1.82 times higher than what Medicare actually pays.
A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. 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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