This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Their average markup ratio of 9.84x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 59% from 2014 to 2023.
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 | $908.86 | $93.34 | 9.74x | $815.52 | $553.1K | 6.6K | 4.6K |
| 2015 | $809.61 | $78.21 | 10.35x | $731.40 | $530.3K | 6.7K | 4.6K |
| 2016 | $831.47 | $80.74 | 10.30x | $750.73 | $640.1K | 7.7K | 5.3K |
| 2017 | $793.17 | $77.48 | 10.24x | $715.69 | $736.7K | 8.6K | 5.9K |
| 2018 | $816.78 | $80.95 | 10.09x | $735.83 | $801.6K | 9.2K | 6.3K |
| 2019 | $867.42 | $88.92 | 9.76x | $778.50 | $837.0K | 9.5K | 6.5K |
| 2020 | $828.65 | $89.76 | 9.23x | $738.89 | $701.9K | 7.7K | 5.8K |
| 2021 | $850.94 | $99.81 | 8.53x | $751.13 | $912.2K | 9.0K | 6.4K |
| 2022 | $1.0K | $116.09 | 9.00x | $928.83 | $897.0K | 9.3K | 6.7K |
| 2023 | $1.0K | $115.26 | 8.89x | $909.24 | $881.0K | 9.8K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 11.0K | $2.9M | $261.12 | 13.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.1K | $788.2K | $65.03 | 3.16x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.2K | $657.1K | $208.35 | 12.30x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.4K | $512.4K | $94.67 | 3.29x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $319.4K | $106.18 | 11.40x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.4K | $306.8K | $222.50 | 10.73x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.3K | $293.2K | $87.94 | 11.39x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $238.6K | $87.87 | 3.74x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.7K | $215.9K | $125.74 | 2.87x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 6.3K | $165.7K | $26.34 | 3.27x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 691 | $131.5K | $190.32 | 21.03x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $116.0K | $98.62 | 11.05x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 675 | $115.4K | $170.96 | 10.15x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 569 | $97.3K | $171.04 | 2.62x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 668 | $90.8K | $136.00 | 3.05x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 645 | $72.9K | $113.08 | 8.75x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 433 | $68.3K | $157.83 | 22.13x |
| 20551 | Injections of tendon attachment to bone | 1.2K | $56.1K | $48.45 | 8.57x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 629 | $54.2K | $86.22 | 9.49x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 980 | $50.8K | $51.85 | 6.64x |
This provider submits charges 9.84 times higher than what Medicare actually pays.
A markup ratio of 9.84x means for every $100 Medicare pays, this provider initially charges $984. 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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