This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
63% of their billing comes from a single procedure code (99232 — Subsequent hospital inpatient care, typically 25 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% in 2018
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 | $139.40 | $64.57 | 2.16x | $74.83 | $603.4K | 10.3K | 2.8K |
| 2015 | $161.39 | $71.70 | 2.25x | $89.69 | $582.7K | 10.1K | 2.9K |
| 2016 | $147.67 | $65.29 | 2.26x | $82.38 | $552.5K | 9.7K | 2.9K |
| 2017 | $158.99 | $75.81 | 2.10x | $83.18 | $538.9K | 8.8K | 3.0K |
| 2018 | $168.96 | $79.99 | 2.11x | $88.97 | $833.4K | 11.7K | 4.2K |
| 2019 | $242.85 | $73.18 | 3.32x | $169.67 | $781.7K | 12.3K | 4.1K |
| 2020 | $286.26 | $74.90 | 3.82x | $211.36 | $788.0K | 12.5K | 3.3K |
| 2021 | $286.38 | $75.29 | 3.80x | $211.09 | $765.8K | 12.1K | 3.1K |
| 2022 | $297.16 | $78.33 | 3.79x | $218.83 | $660.2K | 10.5K | 2.7K |
| 2023 | $302.86 | $79.78 | 3.80x | $223.08 | $901.4K | 14.0K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 77.5K | $4.4M | $57.42 | 3.15x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 5.3K | $827.5K | $156.28 | 2.90x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.6K | $380.8K | $107.00 | 2.94x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 5.8K | $325.9K | $56.43 | 3.55x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 8.4K | $264.4K | $31.61 | 3.28x |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.5K | $259.6K | $57.75 | 3.01x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.7K | $229.4K | $83.86 | 2.93x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 840 | $87.7K | $104.44 | 3.60x |
| 99239 | Hospital discharge day management, more than 30 minutes | 914 | $77.6K | $84.90 | 2.80x |
| 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 | 1.6K | $63.9K | $40.33 | 2.24x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 826 | $28.4K | $34.42 | 3.66x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 76 | $6.0K | $78.48 | 3.20x |
| 99306 | Initial nursing facility visit per day, typically 45 minutes | 33 | $4.6K | $140.09 | 3.59x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 23 | $1.3K | $55.99 | 3.22x |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 80 | $1.1K | $13.23 | 1.89x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | $488.60 | $34.90 | 2.75x |
This provider submits charges 3.12 times higher than what Medicare actually pays.
A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data