This provider averages 52 services per working day
Based on 130.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M 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.
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 | $296.66 | $70.36 | 4.22x | $226.30 | $637.1K | 13.8K | 7.0K |
| 2015 | $248.61 | $84.96 | 2.93x | $163.65 | $720.9K | 13.4K | 6.8K |
| 2016 | $130.45 | $85.58 | 1.52x | $44.87 | $745.8K | 14.5K | 6.8K |
| 2017 | $137.14 | $90.43 | 1.52x | $46.71 | $671.3K | 11.5K | 5.2K |
| 2018 | $158.45 | $96.83 | 1.64x | $61.62 | $724.8K | 11.9K | 5.8K |
| 2019 | $184.17 | $98.69 | 1.87x | $85.48 | $935.9K | 16.1K | 7.4K |
| 2020 | $189.12 | $112.61 | 1.68x | $76.51 | $901.7K | 14.6K | 6.8K |
| 2021 | $214.20 | $134.92 | 1.59x | $79.28 | $816.8K | 11.9K | 5.3K |
| 2022 | $251.74 | $152.77 | 1.65x | $98.97 | $719.2K | 10.1K | 4.7K |
| 2023 | $262.56 | $154.23 | 1.70x | $108.33 | $855.8K | 12.2K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.3K | $1.2M | $194.38 | 2.16x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.4K | $1.1M | $81.36 | 1.75x |
| 80307 | Testing for presence of drug | 12.8K | $786.4K | $61.24 | 1.36x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.8K | $541.1K | $142.51 | 2.30x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.3K | $496.7K | $376.27 | 1.68x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.9K | $439.0K | $49.28 | 2.01x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 3.7K | $268.9K | $73.59 | 2.18x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.3K | $245.2K | $186.04 | 2.58x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 193 | $244.4K | $1.3K | 1.65x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 5.6K | $217.5K | $39.16 | 1.41x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 1.2K | $199.3K | $162.79 | 1.64x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.6K | $198.2K | $126.47 | 2.23x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 2.9K | $193.3K | $67.34 | 2.26x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $174.5K | $157.11 | 2.30x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 864 | $165.5K | $191.52 | 1.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $121.5K | $117.31 | 1.87x |
| 99144 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes | 4.2K | $113.0K | $26.75 | 5.10x |
| 62311 | Injections of substances into lower or sacral spine | 709 | $91.6K | $129.18 | 4.05x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.1K | $83.2K | $75.47 | 1.97x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $82.9K | $79.22 | 2.23x |
This provider submits charges 2.05 times higher than what Medicare actually pays.
A markup ratio of 2.05x means for every $100 Medicare pays, this provider initially charges $205. 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.
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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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