Medicare spending analysis for Internal Medicine providers
Internal Medicine accounts for $77.0B in Medicare payments across 917.6K providers.
The specialty's average markup of 2.9x 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 | $8.6B | 188.2M | 95.2K | — |
| 2015 | $8.9B | 195.2M | 96.6K | +3.2% |
| 2016 | $8.7B | 194.3M | 98.1K | -2.1% |
| 2017 | $8.2B | 183.8M | 94.9K | -5.1% |
| 2018 | $7.7B | 174.1M | 90.5K | -6.1% |
| 2019 | $7.6B | 171.6M | 89.8K | -1.5% |
| 2020 | $6.6B | 146.1M | 87.7K | -12.7% |
| 2021 | $7.1B | 146.5M | 87.9K | +7.6% |
| 2022 | $6.7B | 137.4M | 88.1K | -6.0% |
| 2023 | $6.9B | 136.6M | 88.7K | +2.0% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Aaron Jeng | CA | $43.2M | 49.8K | $867.71 |
| 2 | Richard Park | CA | $31.7M | 75.1K | $422.29 |
| 3 | Gautam Bhakta | CA | $19.0M | 27.7K | $687.27 |
| 4 | Ravindra Gautam | CA | $13.0M | 21.3K | $611.56 |
| 5 | Owen Ellington | TX | $11.5M | 18.2K | $631.48 |
| 6 | Shahid Javery | CO | $11.4M | 26.2K | $433.83 |
| 7 | Patrick Anastasio | FL | $10.3M | 1.2M | $8.71 |
| 8 | Hooman Saberinia | CA | $9.6M | 814.0K | $11.76 |
| 9 | Steven Newman | FL | $5.7M | 482.7K | $11.81 |
| 10 | Tatiana Sharahy | NJ | $5.7M | 471.0K | $12.02 |
| 11 | Samuel Ganz | FL | $5.3M | 316.0K | $16.76 |
| 12 | George Camacho | FL | $5.3M | 435.5K | $12.11 |
| 13 | Tao Ho | TX | $4.3M | 70.6K | $60.17 |
| 14 | Sona Kamat | MO | $4.1M | 219.4K | $18.80 |
| 15 | Qais Ayouby | CA | $4.0M | 10.1K | $396.22 |
| 16 | Amer Homsi | UT | $3.9M | 54.0K | $71.81 |
| 17 | Vasimahmed Lala | MI | $3.7M | 10.3K | $360.04 |
| 18 | Kashif Ali | MD | $3.6M | 462.2K | $7.79 |
| 19 | Lourdes Aponte | DE | $3.6M | 330.0K | $10.82 |
| 20 | Amardeep Aulakh | CA | $3.5M | 388.5K | $9.05 |
| 21 | Mark Mazzare | TX | $3.4M | 289.3K | $11.82 |
| 22 | Edward Mcclay | CA | $3.4M | 163.5K | $20.64 |
| 23 | Jeffrey Alper | FL | $3.3M | 355.9K | $9.27 |
| 24 | Jeffrey Bahr | WI | $3.1M | 269.2K | $11.52 |
| 25 | Shawn Dhillon | MD | $3.1M | 4.9K | $628.32 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $1.2B | 15.0M | $82.78 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $644.3M | 6.8M | $94.45 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $591.0M | 9.5M | $62.44 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $486.0M | 4.0M | $122.16 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $444.8M | 7.4M | $60.09 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $360.2M | 2.7M | $134.79 |
| 99239 | Hospital discharge day management, more than 30 minutes | $218.7M | 2.4M | $89.91 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $198.3M | 1.6M | $120.33 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $181.5M | 2.2M | $84.31 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $129.8M | 2.2M | $60.23 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $99.1M | 978.6K | $101.32 |
| 99291 | Critical care, first 30-74 minutes | $96.1M | 566.5K | $169.70 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $91.9M | 330.9K | $277.80 |
| J0897 | Injection, denosumab, 1 mg | $79.3M | 4.4M | $18.11 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $78.1M | 1.7M | $46.25 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $64.1M | 441.8K | $145.16 |
| Q4236 | Carepatch, per square centimeter | $62.3M | 64.2K | $971.02 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $55.4M | 501.5K | $110.55 |
| 90662 | Influenza vaccine split virus, preservative free | $54.6M | 772.5K | $70.69 |
| 99497 | Advance care planning, first 30 minutes | $53.1M | 793.2K | $66.92 |
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.