This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 163% in 2020
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 | $159.91 | $71.84 | 2.23x | $88.07 | $1.0M | 10.2K | 2.9K |
| 2015 | $164.53 | $68.83 | 2.39x | $95.70 | $1.9M | 19.7K | 6.0K |
| 2016 | $135.37 | $57.30 | 2.36x | $78.07 | $1.5M | 17.4K | 5.2K |
| 2017 | $150.78 | $58.82 | 2.56x | $91.96 | $968.2K | 11.9K | 3.7K |
| 2019 | $217.91 | $67.04 | 3.25x | $150.87 | $304.3K | 4.4K | 1.2K |
| 2020 | $337.68 | $146.47 | 2.31x | $191.21 | $800.2K | 11.7K | 2.6K |
| 2021 | $665.06 | $306.20 | 2.17x | $358.86 | $1.3M | 17.5K | 3.8K |
| 2022 | $304.45 | $87.78 | 3.47x | $216.67 | $734.2K | 11.7K | 3.2K |
| 2023 | $831.93 | $287.11 | 2.90x | $544.82 | $597.5K | 8.7K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27370 | Injection procedure for X-ray imaging of knee | 17.0K | $2.5M | $149.02 | 1.71x |
| 77002 | Fluoroscopic guidance for insertion of needle | 32.9K | $2.5M | $76.51 | 2.75x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 6.9K | $859.2K | $124.18 | 4.05x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 16.0K | $775.9K | $48.35 | 12.73x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 11.0K | $748.7K | $67.79 | 2.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.9K | $548.5K | $55.37 | 2.15x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 380 | $311.9K | $820.89 | 1.46x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 2.1K | $241.5K | $113.24 | 2.92x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.9K | $215.8K | $73.49 | 2.47x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 7.2K | $75.6K | $10.47 | 4.24x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 48 | $57.0K | $1.2K | 2.00x |
| 37242 | Occlusion of artery with review by radiologist | 13 | $56.2K | $4.3K | 2.26x |
| Q4162 | Woundex flow, bioskin flow, 0.5 cc | 33 | $55.9K | $1.7K | 1.33x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.0K | $35.4K | $34.10 | 2.07x |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1.2K | $16.7K | $14.33 | 3.49x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 26 | $15.5K | $596.81 | 3.69x |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1.7K | $15.5K | $9.22 | 4.52x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | $4.6K | $90.44 | 5.47x |
| 27369 | Injection of contrast for imaging of knee joint | 28 | $3.2K | $113.07 | 2.33x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 18 | $2.9K | $161.14 | 2.17x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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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