This provider's $14.1M in total Medicare payments ranks in the 99th percentile of Physical Therapist in Private Practice providers nationally.
Medicare payments to this provider grew 85920% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 98200% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $49.90 | $21.54 | 2.32x | $28.36 | $16.3K | 755 | 6 |
| 2016 | $50.83 | $22.29 | 2.28x | $28.54 | $32.4K | 1.5K | 6 |
| 2017 | $50.77 | $21.54 | 2.36x | $29.23 | $18.5K | 857 | 4 |
| 2019 | $71.23 | $23.45 | 3.04x | $47.78 | $8.7K | 371 | 2 |
| 2020 | $71.38 | $23.04 | 3.10x | $48.34 | $13.5K | 588 | 3 |
| 2021 | $64.37 | $22.21 | 2.90x | $42.16 | $22.5K | 1.0K | 4 |
| 2022 | $32.82 | $21.08 | 1.56x | $11.74 | $14.2K | 675 | 2 |
| 2023 | $1.2K | $904.32 | 1.28x | $256.44 | $14.0M | 15.5K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 6.3K | $6.5M | $1.0K | 1.28x |
| Q4188 | Amnioarmor, per square centimeter | 3.6K | $2.7M | $743.94 | 1.28x |
| Q4281 | Barrera sl or barrera dl, per square centimeter | 1.9K | $2.3M | $1.2K | 1.28x |
| Q4236 | Carepatch, per square centimeter | 2.4K | $2.3M | $936.58 | 1.28x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 236 | $175.8K | $744.80 | 1.28x |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 4.1K | $82.6K | $20.27 | 2.42x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 533 | $68.8K | $129.04 | 2.40x |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 708 | $18.8K | $26.48 | 2.31x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 116 | $15.7K | $135.24 | 2.37x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 703 | $12.9K | $18.32 | 3.05x |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 92 | $6.0K | $65.19 | 2.30x |
| 15272 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 273 | $5.6K | $20.36 | 2.46x |
| 97001 | Physical therapy evaluation | 69 | $3.9K | $55.99 | 1.79x |
| 97002 | Physical therapy re-evaluation | 63 | $2.1K | $33.62 | 2.08x |
| 97116 | Walking training to 1 or more areas, each 15 minutes | 68 | $1.2K | $17.08 | 2.93x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 12 | $846.96 | $70.58 | 2.55x |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 62 | $514.73 | $8.30 | 3.73x |
This provider submits charges 1.29 times higher than what Medicare actually pays.
A markup ratio of 1.29x means for every $100 Medicare pays, this provider initially charges $129. This is lower 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