This provider averages 74 services per working day
Based on 185.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Their average markup ratio of 11.39x is significantly above the specialty median of 3.7x.
Averaging 74 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 623% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 186% in 2016
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 | $541.81 | $86.24 | 6.28x | $455.57 | $152.5K | 4.3K | 932 |
| 2015 | $594.96 | $77.52 | 7.67x | $517.44 | $263.7K | 10.1K | 1.7K |
| 2016 | $630.52 | $84.72 | 7.44x | $545.80 | $753.6K | 32.7K | 2.7K |
| 2017 | $545.69 | $63.42 | 8.60x | $482.27 | $389.8K | 13.7K | 2.3K |
| 2018 | $594.86 | $84.94 | 7.00x | $509.92 | $534.0K | 14.6K | 3.4K |
| 2019 | $580.78 | $84.61 | 6.86x | $496.17 | $706.5K | 17.9K | 3.4K |
| 2020 | $533.96 | $66.36 | 8.05x | $467.60 | $649.7K | 13.1K | 3.2K |
| 2021 | $525.81 | $68.90 | 7.63x | $456.91 | $736.7K | 14.4K | 3.5K |
| 2022 | $528.51 | $73.25 | 7.22x | $455.26 | $1.3M | 35.3K | 4.6K |
| 2023 | $539.60 | $68.48 | 7.88x | $471.12 | $1.1M | 28.9K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.9K | $1.1M | $107.41 | 3.61x |
| 97124 | Therapeutic massage to 1 or more areas, each 15 minutes | 30.5K | $599.1K | $19.62 | 11.48x |
| 95910 | Nerve transmission studies, 7-8 studies | 3.4K | $591.0K | $173.38 | 21.38x |
| 97750 | Physical performance test or measurement with report, each 15 minutes | 18.4K | $552.3K | $30.04 | 17.63x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 23.7K | $514.4K | $21.69 | 16.08x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.8K | $397.2K | $141.55 | 3.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $375.0K | $261.54 | 3.64x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 3.4K | $311.1K | $91.07 | 6.78x |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 34.4K | $297.7K | $8.65 | 33.26x |
| 76882 | Ultrasound of arm or leg | 3.8K | $186.9K | $48.77 | 10.66x |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | 4.8K | $167.5K | $34.58 | 9.19x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.6K | $134.6K | $86.01 | 5.76x |
| 97012 | Application of mechanical traction to 1 or more areas | 11.8K | $123.9K | $10.50 | 23.77x |
| 97164 | Re-evaluation of physical therapy, typically 20 minutes | 2.1K | $122.7K | $58.06 | 3.53x |
| 76881 | Complete ultrasound of joint of arm or leg | 1.4K | $82.2K | $56.81 | 14.41x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 314 | $75.4K | $240.01 | 7.13x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 429 | $70.2K | $163.59 | 5.27x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 779 | $70.0K | $89.83 | 9.35x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.2K | $65.8K | $53.33 | 11.62x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 563 | $62.4K | $110.78 | 7.53x |
This provider submits charges 11.39 times higher than what Medicare actually pays.
A markup ratio of 11.39x means for every $100 Medicare pays, this provider initially charges $1139. 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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