This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Their average markup ratio of 5.15x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 75% from 2014 to 2023.
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 | $323.62 | $82.56 | 3.92x | $241.06 | $282.0K | 3.9K | 2.2K |
| 2015 | $522.35 | $117.46 | 4.45x | $404.89 | $402.5K | 4.3K | 2.6K |
| 2016 | $745.94 | $117.40 | 6.35x | $628.54 | $527.3K | 5.9K | 3.6K |
| 2017 | $791.34 | $115.29 | 6.86x | $676.05 | $545.3K | 6.4K | 4.0K |
| 2018 | $715.69 | $95.66 | 7.48x | $620.03 | $665.2K | 7.9K | 4.9K |
| 2019 | $665.60 | $92.42 | 7.20x | $573.18 | $643.8K | 7.6K | 4.8K |
| 2020 | $630.34 | $97.20 | 6.48x | $533.14 | $539.9K | 6.1K | 4.1K |
| 2021 | $446.90 | $93.29 | 4.79x | $353.61 | $591.4K | 6.2K | 4.1K |
| 2022 | $439.49 | $93.99 | 4.68x | $345.50 | $527.7K | 5.5K | 3.6K |
| 2023 | $470.27 | $93.83 | 5.01x | $376.44 | $494.6K | 5.3K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.0K | $656.6K | $327.95 | 4.41x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.1K | $652.9K | $213.30 | 5.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.1K | $587.7K | $58.11 | 4.42x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.0K | $503.0K | $83.15 | 4.57x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.4K | $479.7K | $195.97 | 5.77x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 2.0K | $292.2K | $145.96 | 4.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $261.7K | $119.79 | 4.83x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.4K | $249.9K | $102.89 | 5.55x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.4K | $213.7K | $151.85 | 5.42x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 1.8K | $180.5K | $101.54 | 5.59x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.8K | $141.1K | $79.87 | 5.13x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $135.3K | $77.30 | 4.07x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 502 | $97.7K | $194.58 | 4.54x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.9K | $95.2K | $49.84 | 5.19x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 1.4K | $89.4K | $66.06 | 4.57x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 341 | $67.2K | $197.12 | 4.42x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 1.7K | $64.0K | $37.13 | 3.55x |
| 72148 | MRI scan of lower spinal canal | 595 | $63.9K | $107.31 | 18.64x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $47.2K | $35.18 | 4.38x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 48 | $37.2K | $775.28 | 5.83x |
This provider submits charges 5.15 times higher than what Medicare actually pays.
A markup ratio of 5.15x means for every $100 Medicare pays, this provider initially charges $515. 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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