This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $296.87 | $72.54 | 4.09x | $224.33 | $383.5K | 6.6K | 4.8K |
| 2015 | $250.25 | $65.27 | 3.83x | $184.98 | $336.8K | 5.4K | 4.0K |
| 2016 | $216.08 | $63.14 | 3.42x | $152.94 | $370.4K | 5.9K | 4.4K |
| 2017 | $216.80 | $62.26 | 3.48x | $154.54 | $395.7K | 6.2K | 4.9K |
| 2018 | $249.00 | $70.55 | 3.53x | $178.45 | $426.0K | 6.3K | 4.8K |
| 2019 | $217.63 | $63.38 | 3.43x | $154.25 | $406.5K | 6.0K | 4.7K |
| 2020 | $223.84 | $65.28 | 3.43x | $158.56 | $345.9K | 5.0K | 4.1K |
| 2021 | $250.83 | $71.28 | 3.52x | $179.55 | $393.0K | 5.5K | 4.5K |
| 2022 | $250.57 | $69.10 | 3.63x | $181.47 | $402.0K | 5.6K | 4.7K |
| 2023 | $267.17 | $70.73 | 3.78x | $196.44 | $392.3K | 5.5K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95910 | Nerve transmission studies, 7-8 studies | 4.2K | $605.3K | $145.37 | 3.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.9K | $502.9K | $56.64 | 2.67x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 6.3K | $476.0K | $75.76 | 3.02x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 6.1K | $448.1K | $72.92 | 2.96x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 5.5K | $400.4K | $72.46 | 3.32x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.4K | $288.0K | $84.95 | 7.16x |
| 95911 | Nerve transmission studies, 9-10 studies | 1.1K | $198.7K | $174.92 | 3.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $153.3K | $83.47 | 2.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $133.0K | $118.60 | 2.98x |
| 62311 | Injections of substances into lower or sacral spine | 1.7K | $115.8K | $68.32 | 7.68x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 4.2K | $85.6K | $20.54 | 3.36x |
| 95912 | Nerve transmission studies, 11-12 studies | 322 | $64.0K | $198.64 | 3.43x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 635 | $57.2K | $90.12 | 6.47x |
| 95909 | Nerve transmission studies, 5-6 studies | 456 | $50.5K | $110.65 | 3.30x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 4.8K | $39.6K | $8.18 | 1.96x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 737 | $30.4K | $41.21 | 3.82x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 531 | $25.1K | $47.26 | 3.89x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 379 | $21.5K | $56.69 | 8.91x |
| 72148 | MRI scan of lower spinal canal | 119 | $21.3K | $179.15 | 5.81x |
| 77003 | Fluoroscopic guidance for spine or spinal canal injection | 816 | $19.7K | $24.12 | 9.95x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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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