This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 300% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 111% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $311.92 | $99.96 | 3.12x | $211.96 | $351.1K | 4.3K | 595 |
| 2019 | $210.50 | $95.03 | 2.22x | $115.47 | $742.0K | 9.3K | 2.3K |
| 2020 | $190.90 | $103.53 | 1.84x | $87.37 | $916.5K | 11.0K | 2.9K |
| 2021 | $190.91 | $101.90 | 1.87x | $89.01 | $1.1M | 14.2K | 3.6K |
| 2022 | $171.00 | $89.10 | 1.92x | $81.90 | $1.3M | 16.9K | 3.8K |
| 2023 | $197.50 | $105.05 | 1.88x | $92.45 | $1.4M | 17.2K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 30.7K | $2.5M | $80.38 | 2.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 15.4K | $980.1K | $63.63 | 1.77x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 11.5K | $689.7K | $60.20 | 1.97x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 7.2K | $658.2K | $91.39 | 1.87x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.8K | $316.5K | $113.29 | 2.21x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.1K | $298.3K | $140.64 | 2.06x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 1.9K | $208.5K | $111.94 | 1.88x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 933 | $157.0K | $168.30 | 2.01x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 255 | $19.9K | $77.92 | 1.77x |
| 99231 | Follow-up hospital inpatient care per day, typically 15 minutes | 78 | $2.6K | $33.33 | 1.86x |
| 99307 | Follow-up nursing facility visit per day, typically 10 minutes | 65 | $2.4K | $37.56 | 1.81x |
This provider submits charges 1.98 times higher than what Medicare actually pays.
A markup ratio of 1.98x means for every $100 Medicare pays, this provider initially charges $198. 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.
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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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