This provider averages 52 services per working day
Based on 130.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% 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 | $201.78 | $82.50 | 2.45x | $119.28 | $459.9K | 8.6K | 2.5K |
| 2015 | $189.10 | $81.43 | 2.32x | $107.67 | $449.8K | 8.4K | 2.4K |
| 2016 | $207.71 | $87.47 | 2.37x | $120.24 | $781.5K | 14.3K | 3.7K |
| 2017 | $201.39 | $80.46 | 2.50x | $120.93 | $821.0K | 15.4K | 3.9K |
| 2018 | $208.50 | $80.96 | 2.58x | $127.54 | $790.6K | 15.7K | 4.3K |
| 2019 | $246.66 | $106.59 | 2.31x | $140.07 | $806.8K | 15.8K | 4.4K |
| 2020 | $221.46 | $95.90 | 2.31x | $125.56 | $727.7K | 14.2K | 4.0K |
| 2021 | $192.78 | $80.79 | 2.39x | $111.99 | $631.8K | 13.0K | 3.6K |
| 2022 | $192.70 | $75.12 | 2.57x | $117.58 | $611.3K | 12.6K | 3.6K |
| 2023 | $185.76 | $79.44 | 2.34x | $106.32 | $654.4K | 12.2K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 50.7K | $2.8M | $54.32 | 1.56x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 43.4K | $1.3M | $30.35 | 1.98x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 7.6K | $776.2K | $101.52 | 1.67x |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.5K | $412.0K | $55.03 | 1.45x |
| J0475 | Injection, baclofen, 10 mg | 1.9K | $255.5K | $134.68 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.5K | $237.8K | $52.41 | 1.56x |
| 62370 | Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician | 2.2K | $185.3K | $83.78 | 2.13x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 4.0K | $172.6K | $43.64 | 5.73x |
| 64644 | Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles | 968 | $118.4K | $122.35 | 1.75x |
| 64642 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 1.1K | $114.5K | $106.53 | 1.73x |
| 64643 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 977 | $66.6K | $68.17 | 2.72x |
| J7999 | Compounded drug, not otherwise classified | 119 | $60.9K | $511.66 | 1.58x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 660 | $40.5K | $61.44 | 4.07x |
| 95913 | Nerve transmission studies, 13 or more studies | 149 | $32.5K | $218.32 | 2.82x |
| 95911 | Nerve transmission studies, 9-10 studies | 195 | $32.2K | $165.26 | 2.57x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 251 | $26.5K | $105.76 | 3.88x |
| 95874 | Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles | 442 | $24.8K | $56.02 | 3.20x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 257 | $23.1K | $89.71 | 2.02x |
| 62368 | Electronic analysis and reprogramming of spinal canal drug infusion pump | 578 | $21.9K | $37.91 | 2.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 233 | $17.3K | $74.05 | 1.58x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. This is lower 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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