This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 2703% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 164% in 2016
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 | $625.34 | $71.20 | 8.78x | $554.14 | $39.6K | 629 | 465 |
| 2015 | $554.05 | $62.78 | 8.83x | $491.27 | $63.4K | 1.2K | 874 |
| 2016 | $493.02 | $80.83 | 6.10x | $412.19 | $167.3K | 2.7K | 991 |
| 2017 | $507.17 | $58.58 | 8.66x | $448.59 | $435.3K | 7.0K | 2.6K |
| 2018 | $394.61 | $74.97 | 5.26x | $319.64 | $651.6K | 9.9K | 3.7K |
| 2019 | $171.57 | $64.21 | 2.67x | $107.36 | $655.7K | 9.5K | 4.4K |
| 2020 | $161.46 | $72.45 | 2.23x | $89.01 | $627.7K | 8.3K | 4.2K |
| 2021 | $153.82 | $64.07 | 2.40x | $89.75 | $708.7K | 8.5K | 5.3K |
| 2022 | $151.97 | $61.98 | 2.45x | $89.99 | $853.0K | 9.8K | 5.8K |
| 2023 | $141.44 | $59.44 | 2.38x | $82.00 | $1.1M | 10.5K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 32.8K | $1.8M | $54.87 | 2.28x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 12.8K | $1.7M | $135.58 | 2.07x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 14.0K | $1.0M | $75.01 | 2.40x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 5.7K | $585.5K | $102.82 | 2.34x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 222 | $32.5K | $146.54 | 12.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 290 | $22.4K | $77.41 | 3.22x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 373 | $19.5K | $52.16 | 3.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 92 | $10.4K | $113.08 | 3.38x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 237 | $10.2K | $43.05 | 4.88x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 209 | $7.4K | $35.37 | 2.33x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 66 | $5.3K | $80.62 | 15.96x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 68 | $5.2K | $77.14 | 9.84x |
| 95912 | Nerve transmission studies, 11-12 studies | 25 | $5.1K | $205.77 | 3.01x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 49 | $4.8K | $98.84 | 17.78x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 88 | $4.6K | $52.42 | 10.49x |
| 98925 | Osteopathic manipulative treatment to 1-2 body regions | 166 | $3.3K | $20.04 | 4.55x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 46 | $3.3K | $71.54 | 4.15x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 48 | $2.8K | $57.74 | 18.99x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 85 | $2.3K | $26.64 | 8.47x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 17 | $1.9K | $113.93 | 2.96x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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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