This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 749% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 138% in 2022
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 | $159.72 | $59.82 | 2.67x | $99.90 | $203.1K | 3.6K | 1.6K |
| 2015 | $157.10 | $56.56 | 2.78x | $100.54 | $271.0K | 4.6K | 2.3K |
| 2016 | $173.11 | $60.18 | 2.88x | $112.93 | $318.6K | 5.2K | 2.3K |
| 2017 | $178.06 | $57.03 | 3.12x | $121.03 | $379.9K | 6.7K | 2.4K |
| 2018 | $171.82 | $55.88 | 3.07x | $115.94 | $439.5K | 7.5K | 2.5K |
| 2019 | $174.28 | $52.41 | 3.33x | $121.87 | $507.7K | 9.0K | 2.3K |
| 2020 | $174.92 | $50.83 | 3.44x | $124.09 | $234.3K | 4.4K | 1.5K |
| 2021 | $168.94 | $55.21 | 3.06x | $113.73 | $414.5K | 6.5K | 2.0K |
| 2022 | $180.01 | $55.63 | 3.24x | $124.38 | $984.5K | 15.4K | 3.6K |
| 2023 | $194.89 | $66.33 | 2.94x | $128.56 | $1.7M | 22.9K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 31.8K | $2.2M | $70.42 | 2.68x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 20.0K | $1.1M | $54.84 | 2.53x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 9.0K | $731.2K | $81.59 | 2.01x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.1K | $310.3K | $99.77 | 2.81x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 5.8K | $287.5K | $49.57 | 2.83x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $185.5K | $57.68 | 2.45x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.8K | $173.1K | $93.72 | 2.76x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.2K | $66.5K | $54.86 | 3.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $64.3K | $36.77 | 2.55x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.1K | $51.2K | $24.85 | 5.76x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 404 | $36.9K | $91.24 | 2.55x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 393 | $28.8K | $73.22 | 3.27x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.7K | $28.2K | $16.89 | 5.26x |
| 99239 | Hospital discharge day management, more than 30 minutes | 328 | $26.0K | $79.25 | 2.68x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 382 | $22.8K | $59.57 | 3.07x |
| 64405 | Injection of anesthetic agent, greater occipital nerve | 364 | $17.0K | $46.69 | 3.23x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 170 | $12.3K | $72.09 | 3.59x |
| 95910 | Nerve transmission studies, 7-8 studies | 147 | $11.6K | $79.06 | 3.10x |
| 64646 | Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles | 187 | $10.5K | $55.94 | 4.99x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 68 | $7.9K | $116.68 | 2.43x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. This is higher than the national average.
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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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