This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Sports Medicine providers nationally.
Medicare payments to this provider grew 1164% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 140% 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 | $153.87 | $33.75 | 4.56x | $120.12 | $56.2K | 1.4K | 971 |
| 2015 | $281.62 | $57.23 | 4.92x | $224.39 | $126.5K | 2.1K | 1.7K |
| 2016 | $302.23 | $54.13 | 5.58x | $248.10 | $303.9K | 4.7K | 3.4K |
| 2017 | $258.50 | $48.27 | 5.36x | $210.23 | $349.2K | 5.6K | 3.8K |
| 2018 | $278.74 | $48.76 | 5.72x | $229.98 | $336.5K | 5.8K | 3.9K |
| 2019 | $251.58 | $44.37 | 5.67x | $207.21 | $333.7K | 6.3K | 4.1K |
| 2020 | $286.53 | $53.96 | 5.31x | $232.57 | $306.4K | 5.8K | 3.6K |
| 2021 | $250.83 | $46.61 | 5.38x | $204.22 | $339.9K | 6.1K | 3.9K |
| 2022 | $232.05 | $44.03 | 5.27x | $188.02 | $443.1K | 9.5K | 4.7K |
| 2023 | $223.33 | $41.91 | 5.33x | $181.42 | $710.7K | 17.5K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.8K | $989.3K | $62.76 | 3.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.9K | $509.4K | $85.91 | 3.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $328.6K | $123.75 | 3.46x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 6.3K | $315.2K | $49.73 | 4.42x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.1K | $249.4K | $80.41 | 3.49x |
| 98926 | Osteopathic manipulative treatment, 3-4 body regions | 4.3K | $150.2K | $35.17 | 3.33x |
| 72148 | MRI scan of lower spinal canal | 978 | $116.5K | $119.10 | 14.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.3K | $95.2K | $41.75 | 3.37x |
| 73721 | MRI scan of leg joint | 377 | $49.4K | $131.08 | 7.72x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 326 | $40.2K | $123.29 | 2.04x |
| 97012 | Application of mechanical traction to 1 or more areas | 3.4K | $38.2K | $11.21 | 3.74x |
| 73221 | MRI scan of arm joint | 279 | $37.6K | $134.66 | 7.52x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 774 | $33.4K | $43.19 | 4.17x |
| 73564 | X-ray of knee, 4 or more views | 919 | $31.6K | $34.41 | 4.23x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 903 | $26.6K | $29.48 | 4.89x |
| 72141 | MRI scan of upper spinal canal | 211 | $23.9K | $113.50 | 9.60x |
| 98925 | Osteopathic manipulative treatment, 1-2 body regions | 807 | $19.5K | $24.22 | 3.43x |
| 73030 | X-ray of shoulder, minimum of 2 views | 762 | $19.4K | $25.42 | 5.01x |
| 98927 | Osteopathic manipulative treatment, 5-6 body regions | 403 | $18.5K | $45.79 | 3.34x |
| 73110 | X-ray of wrist, minimum of 3 views | 489 | $15.4K | $31.45 | 3.99x |
This provider submits charges 4.06 times higher than what Medicare actually pays.
A markup ratio of 4.06x means for every $100 Medicare pays, this provider initially charges $406. This is higher 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