This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Their average markup ratio of 5.7x is significantly above the specialty median of 3.7x.
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 | $487.07 | $95.00 | 5.13x | $392.07 | $895.6K | 10.1K | 3.8K |
| 2015 | $484.58 | $86.96 | 5.57x | $397.62 | $753.5K | 9.3K | 3.7K |
| 2016 | $530.69 | $95.02 | 5.59x | $435.67 | $879.9K | 12.2K | 5.0K |
| 2017 | $527.71 | $95.81 | 5.51x | $431.90 | $899.1K | 12.2K | 5.1K |
| 2018 | $536.62 | $102.79 | 5.22x | $433.83 | $898.1K | 11.8K | 4.8K |
| 2019 | $557.43 | $104.36 | 5.34x | $453.07 | $891.8K | 11.3K | 4.4K |
| 2020 | $555.50 | $108.02 | 5.14x | $447.48 | $751.7K | 9.4K | 3.9K |
| 2021 | $467.45 | $99.62 | 4.69x | $367.83 | $817.2K | 9.4K | 4.2K |
| 2022 | $556.84 | $126.12 | 4.42x | $430.72 | $784.5K | 9.3K | 5.1K |
| 2023 | $515.37 | $114.74 | 4.49x | $400.63 | $637.7K | 7.7K | 4.1K |
| 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 | 10.6K | $2.3M | $213.40 | 7.36x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.1K | $1.5M | $80.78 | 2.94x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 4.6K | $743.8K | $161.98 | 12.29x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.6K | $521.2K | $335.80 | 3.04x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.5K | $479.4K | $188.54 | 5.77x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.7K | $465.7K | $170.08 | 4.51x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.5K | $332.5K | $73.11 | 6.14x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.6K | $238.0K | $90.67 | 4.72x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.5K | $217.1K | $143.20 | 2.64x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 2.3K | $206.5K | $91.65 | 4.71x |
| 77002 | Fluoroscopic guidance for insertion of needle | 2.2K | $174.5K | $79.98 | 2.61x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.3K | $153.0K | $46.61 | 4.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $152.9K | $115.49 | 3.38x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 625 | $90.6K | $144.97 | 3.82x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 9.4K | $75.9K | $8.03 | 2.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $70.4K | $54.20 | 2.79x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 186 | $62.4K | $335.40 | 3.01x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 434 | $58.7K | $135.20 | 10.55x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 590 | $44.5K | $75.41 | 4.51x |
| 72148 | MRI scan of lower spinal canal | 440 | $42.9K | $97.41 | 13.82x |
This provider submits charges 5.7 times higher than what Medicare actually pays.
A markup ratio of 5.7x means for every $100 Medicare pays, this provider initially charges $570. 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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