This provider averages 55 services per working day
Based on 137.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.7M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
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 | $289.57 | $73.35 | 3.95x | $216.22 | $1.0M | 15.1K | 4.8K |
| 2015 | $354.01 | $71.38 | 4.96x | $282.63 | $698.7K | 11.0K | 3.7K |
| 2016 | $429.70 | $66.96 | 6.42x | $362.74 | $633.5K | 10.1K | 3.7K |
| 2017 | $308.41 | $70.43 | 4.38x | $237.98 | $917.7K | 14.4K | 4.5K |
| 2018 | $378.01 | $61.65 | 6.13x | $316.36 | $866.2K | 14.2K | 3.9K |
| 2019 | $410.87 | $70.57 | 5.82x | $340.30 | $1.0M | 16.2K | 4.0K |
| 2020 | $274.56 | $72.53 | 3.79x | $202.03 | $938.6K | 15.0K | 3.6K |
| 2021 | $284.20 | $75.36 | 3.77x | $208.84 | $903.3K | 15.0K | 3.7K |
| 2022 | $245.78 | $77.71 | 3.16x | $168.07 | $856.9K | 14.1K | 3.5K |
| 2023 | $273.86 | $83.21 | 3.29x | $190.65 | $835.0K | 12.7K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 85.5K | $4.8M | $55.60 | 2.48x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.8K | $951.3K | $80.32 | 2.44x |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.5K | $697.6K | $81.91 | 2.92x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.9K | $588.9K | $149.35 | 2.62x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 5.6K | $579.2K | $103.39 | 2.70x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 10.3K | $536.9K | $51.88 | 2.41x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 6.8K | $223.7K | $32.73 | 2.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $186.5K | $74.23 | 5.36x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 335 | $38.0K | $113.50 | 5.42x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 986 | $38.0K | $38.53 | 1.69x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 231 | $20.9K | $90.69 | 6.06x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 162 | $11.3K | $69.50 | 9.21x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 382 | $9.3K | $24.23 | 7.10x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 44 | $6.1K | $138.79 | 5.53x |
| 72040 | X-ray of spine of neck, 2 or 3 views | 151 | $3.5K | $23.18 | 7.12x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 66 | $3.3K | $50.23 | 6.42x |
| 72275 | Radiological supervision and interpretation X-ray of covering of spinal cord | 110 | $3.0K | $27.41 | 20.07x |
| 95908 | Nerve transmission studies, 3-4 studies | 26 | $2.2K | $85.43 | 12.56x |
| 72090 | X-ray of spine, scoliosis study | 61 | $2.0K | $33.46 | 6.22x |
| 62282 | Injection of spinal canal to destroy nerve | 17 | $1.8K | $106.68 | 7.50x |
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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