This provider averages 73 services per working day
Based on 181.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.9M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 73 services per working day raises questions about billing patterns.
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 | $149.11 | $58.82 | 2.54x | $90.29 | $881.9K | 16.5K | 6.4K |
| 2015 | $147.58 | $56.55 | 2.61x | $91.03 | $991.5K | 18.7K | 6.7K |
| 2016 | $161.57 | $62.16 | 2.60x | $99.41 | $870.0K | 16.1K | 5.3K |
| 2017 | $191.06 | $75.85 | 2.52x | $115.21 | $1.1M | 20.7K | 5.9K |
| 2018 | $191.01 | $76.36 | 2.50x | $114.65 | $1.1M | 20.8K | 5.8K |
| 2019 | $191.01 | $79.07 | 2.42x | $111.94 | $1.1M | 19.8K | 6.0K |
| 2020 | $191.00 | $76.27 | 2.50x | $114.73 | $912.1K | 16.8K | 5.0K |
| 2021 | $191.01 | $78.28 | 2.44x | $112.73 | $917.5K | 16.3K | 5.1K |
| 2022 | $209.54 | $82.79 | 2.53x | $126.75 | $981.1K | 17.9K | 5.7K |
| 2023 | $194.88 | $78.12 | 2.49x | $116.76 | $1.2M | 17.9K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 54.0K | $3.0M | $55.56 | 2.45x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 76.0K | $2.3M | $30.26 | 2.45x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 26.7K | $2.1M | $79.84 | 2.45x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 8.0K | $1.2M | $149.45 | 2.54x |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.5K | $693.4K | $81.55 | 2.46x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 4.3K | $450.9K | $103.68 | 2.47x |
| 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 | 1.4K | $57.4K | $39.67 | 2.52x |
| 95861 | Needle measurement and recording of electrical activity of muscles of arms or legs | 317 | $20.2K | $63.86 | 3.98x |
| 95939 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs | 205 | $19.0K | $92.56 | 2.46x |
| 95938 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms and legs | 488 | $17.3K | $35.38 | 2.46x |
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 480 | $12.0K | $25.01 | 2.04x |
| 95927 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head | 494 | $10.5K | $21.34 | 2.48x |
| 95865 | Needle measurement and recording of electrical activity of muscles of voice box | 114 | $7.3K | $64.02 | 2.50x |
| 95955 | Measurement of electrical activity (EEG) outside the brain during surgery | 149 | $6.3K | $42.25 | 2.41x |
| 95908 | Nerve transmission studies, 3-4 studies | 56 | $2.9K | $51.13 | 2.46x |
| 95885 | Needle measurement and recording of electrical activity of muscles of arm or leg limited study | 80 | $1.2K | $14.42 | 2.50x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 27 | $949.28 | $35.16 | 2.62x |
| 95909 | Nerve transmission studies, 5-6 studies | 13 | $796.11 | $61.24 | 2.45x |
| 95868 | Needle measurement and recording of electrical activity of cranial nerve-supplied muscles on both sides of body | 11 | $532.36 | $48.40 | 3.68x |
| 95907 | Nerve transmission studies, 1-2 studies | 12 | $495.39 | $41.28 | 2.42x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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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