Medicare spending analysis for General Practice providers
General Practice accounts for $2.7B in Medicare payments across 45.4K providers.
The specialty's average markup of 2.6x is below the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $319.7M | 7.5M | 5.8K | — |
| 2015 | $300.4M | 7.9M | 5.5K | -6.0% |
| 2016 | $289.9M | 7.7M | 5.3K | -3.5% |
| 2017 | $274.5M | 7.0M | 4.9K | -5.3% |
| 2018 | $255.7M | 6.2M | 4.7K | -6.8% |
| 2019 | $246.0M | 6.1M | 4.5K | -3.8% |
| 2020 | $210.8M | 5.0M | 4.0K | -14.3% |
| 2021 | $234.9M | 5.1M | 3.8K | +11.4% |
| 2022 | $248.2M | 6.0M | 3.6K | +5.7% |
| 2023 | $294.5M | 6.1M | 3.4K | +18.7% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Stephen Dubin | NV | $33.2M | 42.7K | $778.40 |
| 2 | Jack Azad | CA | $17.2M | 42.6K | $404.06 |
| 3 | Joseph Palumbo | WV | $7.9M | 16.0K | $493.38 |
| 4 | Christopher Fisher | OK | $7.6M | 642.3K | $11.83 |
| 5 | Kelly Powell | CA | $4.3M | 7.0K | $619.93 |
| 6 | Terry Stevenson | AZ | $2.6M | 212.0K | $12.21 |
| 7 | Leslie Kalman | CA | $2.2M | 21.4K | $104.13 |
| 8 | Mark Samonte | CA | $2.1M | 24.0K | $86.21 |
| 9 | Hubert Franke | NJ | $2.0M | 584.6K | $3.47 |
| 10 | Hermilito Villar | CA | $1.9M | 24.1K | $78.64 |
| 11 | Christopher Cummins | MS | $1.9M | 146.2K | $12.75 |
| 12 | Obi Imegwu | NJ | $1.6M | 3.9K | $406.60 |
| 13 | Matthew Brennan | MS | $1.4M | 13.3K | $102.25 |
| 14 | David Klein | FL | $1.4M | 46.9K | $29.08 |
| 15 | Duan Copeland | AZ | $1.4M | 191.7K | $7.11 |
| 16 | Kevin Do | CA | $1.4M | 85.6K | $15.84 |
| 17 | Avinash Ravilla | PA | $1.3M | 32.5K | $38.99 |
| 18 | Haytham Albizem | PA | $1.2M | 4.2K | $295.02 |
| 19 | Steven Presser | CA | $1.2M | 10.0K | $119.53 |
| 20 | Chinedu Okeke | DC | $1.2M | 2.8K | $421.17 |
| 21 | David Zhu | GA | $1.2M | 12.9K | $91.03 |
| 22 | Emmanuel Kuyinu | TX | $1.2M | 9.8K | $119.52 |
| 23 | Randall Williams | CA | $1.2M | 56.7K | $20.35 |
| 24 | David Rekar | CA | $1.1M | 9.2K | $121.24 |
| 25 | Eugene Ostrovsky | CA | $1.1M | 9.0K | $124.33 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $36.2M | 419.2K | $86.38 |
| Q4262 | Dual layer impax membrane, per square centimeter | $27.0M | 27.4K | $986.09 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $25.6M | 409.6K | $62.54 |
| Q4236 | Carepatch, per square centimeter | $17.0M | 18.1K | $941.11 |
| Q4253 | Zenith amniotic membrane, per square centimeter | $12.4M | 15.1K | $821.46 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $11.1M | 132.3K | $84.10 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $9.6M | 819.0K | $11.76 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $9.4M | 74.2K | $127.07 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $6.7M | 111.7K | $59.82 |
| Q4188 | Amnioarmor, per square centimeter | $5.1M | 6.8K | $750.24 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $5.0M | 39.8K | $124.87 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $4.9M | 51.8K | $95.16 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $4.6M | 73.5K | $62.92 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $4.3M | 29.8K | $146.09 |
| G0181 | Physician or allowed practitioner 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 or allow | $3.5M | 40.5K | $85.22 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $3.4M | 35.8K | $94.93 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | $3.0M | 17.8K | $167.48 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $2.6M | 54.6K | $46.95 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $2.5M | 17.1K | $145.81 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $2.4M | 21.6K | $113.29 |
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.