This provider averages 100 services per working day
Based on 249.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Occupational Therapist in Private Practice providers nationally.
Averaging 100 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 | $55.45 | $27.25 | 2.03x | $28.20 | $381.7K | 24.0K | 2.1K |
| 2015 | $52.73 | $25.29 | 2.09x | $27.44 | $429.3K | 26.6K | 2.0K |
| 2016 | $69.91 | $24.65 | 2.84x | $45.26 | $472.6K | 28.3K | 2.4K |
| 2017 | $85.15 | $32.18 | 2.65x | $52.97 | $499.9K | 29.3K | 2.8K |
| 2018 | $85.15 | $32.35 | 2.63x | $52.80 | $523.0K | 31.8K | 2.7K |
| 2019 | $85.15 | $33.74 | 2.52x | $51.41 | $386.3K | 23.1K | 2.3K |
| 2020 | $85.15 | $35.10 | 2.43x | $50.05 | $424.6K | 25.8K | 2.0K |
| 2021 | $85.15 | $37.82 | 2.25x | $47.33 | $381.9K | 22.5K | 2.0K |
| 2022 | $70.33 | $28.25 | 2.49x | $42.08 | $279.8K | 17.4K | 1.6K |
| 2023 | $77.92 | $31.53 | 2.47x | $46.39 | $323.9K | 20.4K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 66.5K | $1.2M | $17.61 | 3.12x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 36.3K | $794.1K | $21.85 | 2.75x |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 61.5K | $485.8K | $7.89 | 3.41x |
| 97035 | Application of ultrasound to 1 or more areas, each 15 minutes | 45.6K | $377.7K | $8.28 | 2.94x |
| 97535 | Self-care or home management training, each 15 minutes | 14.0K | $357.9K | $25.55 | 2.46x |
| 97597 | Removal of tissue from wounds per session | 5.0K | $332.9K | $66.04 | 2.09x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 8.4K | $196.1K | $23.36 | 2.78x |
| 97598 | Removal of tissue from wounds per session | 3.9K | $96.8K | $24.96 | 2.15x |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | 2.8K | $76.5K | $27.10 | 2.50x |
| 97167 | Evaluation of occupational therapy established plan of care, typically 60 minutes | 974 | $72.1K | $73.98 | 2.28x |
| 97003 | Occupational therapy evaluation | 958 | $61.9K | $64.61 | 2.33x |
| 97165 | Evaluation of occupational therapy, typically 30 minutes | 529 | $36.5K | $68.98 | 2.45x |
| 97166 | Evaluation of occupational therapy, typically 45 minutes | 411 | $28.9K | $70.24 | 2.41x |
| 97018 | Application of hot wax bath to 1 or more areas | 2.1K | $8.0K | $3.91 | 5.52x |
| 97760 | Training in use of orthotics (supports, braces, or splints) for arms, legs and/or trunk each 15 minutes | 227 | $5.9K | $26.15 | 2.61x |
This provider submits charges 2.84 times higher than what Medicare actually pays.
A markup ratio of 2.84x means for every $100 Medicare pays, this provider initially charges $284. 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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