This provider's $5.7M in total Medicare payments ranks in the 99th percentile of General Practice providers nationally.
82% 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 | $58.53 | $40.62 | 1.44x | $17.91 | $639.9K | 13.0K | 2.6K |
| 2015 | $52.01 | $35.42 | 1.47x | $16.59 | $642.5K | 13.3K | 2.9K |
| 2016 | $73.30 | $45.80 | 1.60x | $27.50 | $608.2K | 12.6K | 2.6K |
| 2017 | $70.27 | $42.77 | 1.64x | $27.50 | $542.0K | 11.6K | 2.6K |
| 2018 | $73.40 | $45.90 | 1.60x | $27.50 | $537.1K | 11.2K | 2.5K |
| 2019 | $73.40 | $44.78 | 1.64x | $28.62 | $543.1K | 11.0K | 2.5K |
| 2020 | $73.40 | $47.04 | 1.56x | $26.36 | $542.0K | 9.6K | 1.8K |
| 2021 | $73.22 | $48.58 | 1.51x | $24.64 | $547.8K | 9.6K | 2.0K |
| 2022 | $81.71 | $49.96 | 1.64x | $31.75 | $549.2K | 9.3K | 1.8K |
| 2023 | $89.02 | $52.26 | 1.70x | $36.76 | $589.0K | 9.9K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 74.7K | $4.7M | $63.30 | 1.40x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 4.9K | $341.0K | $69.77 | 1.29x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 4.3K | $221.7K | $51.95 | 1.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.4K | $129.6K | $13.81 | 2.22x |
| 69210 | Removal of impact ear wax, one ear | 3.1K | $125.5K | $40.76 | 2.00x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 1.2K | $64.8K | $51.98 | 1.44x |
| G0008 | Administration of influenza virus vaccine | 1.7K | $43.8K | $25.43 | 1.20x |
| 36415 | Insertion of needle into vein for collection of blood sample | 9.7K | $30.7K | $3.16 | 1.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 174 | $22.6K | $129.88 | 1.54x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 859 | $13.9K | $16.14 | 2.66x |
| 90756 | Vaccine for influenza for injection into muscle | 260 | $6.8K | $26.13 | 1.68x |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | 253 | $4.5K | $17.88 | 2.46x |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 167 | $3.7K | $21.90 | 2.05x |
| 90688 | Vaccine for influenza for administration into muscle, 0.5 ml dosage | 170 | $3.4K | $19.83 | 2.22x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 88 | $1.5K | $17.32 | 1.68x |
This provider submits charges 1.44 times higher than what Medicare actually pays.
A markup ratio of 1.44x means for every $100 Medicare pays, this provider initially charges $144. 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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