This provider averages 61 services per working day
Based on 153.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 61 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 | $125.72 | $45.43 | 2.77x | $80.29 | $364.4K | 11.4K | 2.4K |
| 2015 | $132.66 | $45.08 | 2.94x | $87.58 | $444.6K | 14.9K | 3.0K |
| 2016 | $124.16 | $46.46 | 2.67x | $77.70 | $449.8K | 15.4K | 2.8K |
| 2017 | $142.30 | $55.51 | 2.56x | $86.79 | $420.6K | 14.6K | 2.8K |
| 2018 | $137.16 | $52.95 | 2.59x | $84.21 | $480.0K | 16.5K | 2.9K |
| 2019 | $147.79 | $58.04 | 2.55x | $89.75 | $448.2K | 15.6K | 2.5K |
| 2020 | $141.69 | $56.98 | 2.49x | $84.71 | $370.9K | 11.1K | 2.2K |
| 2021 | $135.54 | $60.04 | 2.26x | $75.50 | $529.8K | 17.2K | 3.0K |
| 2022 | $137.46 | $59.08 | 2.33x | $78.38 | $474.6K | 16.9K | 2.9K |
| 2023 | $136.49 | $58.34 | 2.34x | $78.15 | $501.4K | 19.6K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.8K | $1.1M | $99.47 | 2.01x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 36.9K | $810.9K | $21.97 | 6.66x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 19.4K | $366.5K | $18.87 | 7.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.8K | $350.9K | $127.52 | 1.80x |
| 97124 | Therapeutic massage to 1 or more areas, each 15 minutes | 12.8K | $289.4K | $22.58 | 4.46x |
| 97150 | Therapeutic procedures in a group setting | 23.2K | $276.7K | $11.95 | 2.51x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 8.5K | $225.3K | $26.50 | 5.55x |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | 6.9K | $220.1K | $31.81 | 3.13x |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 17.9K | $158.5K | $8.87 | 2.82x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 862 | $157.9K | $183.22 | 1.79x |
| 97162 | Evaluation of physical therapy, typically 30 minutes | 1.2K | $96.8K | $78.66 | 2.03x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 489 | $67.0K | $137.01 | 2.00x |
| 97001 | Physical therapy evaluation | 828 | $52.7K | $63.61 | 2.50x |
| 97535 | Self-care or home management training, each 15 minutes | 2.0K | $49.0K | $24.98 | 4.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 562 | $36.6K | $65.07 | 2.39x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 994 | $34.8K | $35.05 | 2.14x |
| 20553 | Injections of trigger points in 3 or more muscles | 564 | $32.2K | $57.05 | 4.70x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 384 | $31.2K | $81.33 | 1.97x |
| 97163 | Evaluation of physical therapy, typically 45 minutes | 282 | $21.6K | $76.69 | 2.09x |
| 97022 | Application of whirlpool therapy to 1 or more areas | 1.5K | $19.8K | $13.57 | 2.95x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. 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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