This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 110% from 2014 to 2023.
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 | $159.79 | $80.40 | 1.99x | $79.39 | $325.8K | 6.1K | 3.3K |
| 2015 | $161.21 | $79.32 | 2.03x | $81.89 | $313.3K | 6.1K | 3.0K |
| 2016 | $189.49 | $80.29 | 2.36x | $109.20 | $330.2K | 5.9K | 3.1K |
| 2017 | $203.06 | $81.90 | 2.48x | $121.16 | $362.0K | 6.7K | 3.4K |
| 2018 | $200.85 | $78.08 | 2.57x | $122.77 | $355.9K | 6.8K | 3.4K |
| 2019 | $221.82 | $73.42 | 3.02x | $148.40 | $431.7K | 8.0K | 3.8K |
| 2020 | $251.09 | $76.23 | 3.29x | $174.86 | $458.6K | 8.3K | 3.6K |
| 2021 | $221.51 | $68.93 | 3.21x | $152.58 | $455.7K | 8.4K | 3.7K |
| 2022 | $208.15 | $60.41 | 3.45x | $147.74 | $533.1K | 10.5K | 3.6K |
| 2023 | $221.48 | $61.40 | 3.61x | $160.08 | $684.3K | 12.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 33.5K | $1.8M | $54.16 | 3.07x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 7.1K | $1.0M | $144.99 | 2.51x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 29.4K | $890.1K | $30.28 | 3.85x |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.6K | $194.7K | $53.96 | 2.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $78.6K | $70.09 | 2.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $70.7K | $32.01 | 3.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $64.1K | $47.63 | 3.25x |
| 99358 | Prolonged patient service without direct patient contact first hour | 430 | $35.1K | $81.70 | 2.91x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 283 | $28.2K | $99.53 | 2.44x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 162 | $22.7K | $140.01 | 2.37x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 140 | $9.0K | $64.57 | 1.87x |
| 95909 | Nerve transmission studies, 5-6 studies | 79 | $8.0K | $101.63 | 1.94x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 105 | $7.8K | $74.26 | 2.32x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 32 | $2.5K | $77.15 | 2.07x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 11 | $147.25 | $13.39 | 6.75x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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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