This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 1479% from 2014 to 2023.
74% of their billing comes from a single procedure code (99309 — Subsequent nursing facility visit, typically 25 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 518% in 2015
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 | $328.64 | $126.16 | 2.60x | $202.48 | $56.9K | 619 | 139 |
| 2015 | $300.00 | $101.98 | 2.94x | $198.02 | $351.5K | 3.7K | 808 |
| 2016 | $256.98 | $91.06 | 2.82x | $165.92 | $419.9K | 5.4K | 876 |
| 2017 | $298.83 | $98.04 | 3.05x | $200.79 | $426.3K | 5.8K | 696 |
| 2018 | $283.33 | $104.47 | 2.71x | $178.86 | $1.2M | 15.6K | 1.4K |
| 2019 | $250.00 | $95.48 | 2.62x | $154.52 | $1.8M | 24.2K | 1.9K |
| 2020 | $250.00 | $93.29 | 2.68x | $156.71 | $1.3M | 16.6K | 1.1K |
| 2021 | $250.00 | $95.60 | 2.62x | $154.40 | $1.1M | 14.5K | 1.1K |
| 2022 | $233.33 | $89.52 | 2.61x | $143.81 | $584.5K | 8.0K | 678 |
| 2023 | $250.00 | $102.35 | 2.44x | $147.65 | $898.5K | 12.9K | 702 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 79.1K | $6.0M | $76.14 | 2.66x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 18.8K | $1.1M | $59.74 | 2.53x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.6K | $489.6K | $86.69 | 3.32x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 2.4K | $334.5K | $137.15 | 2.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 473 | $80.1K | $169.41 | 2.40x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 702 | $73.4K | $104.60 | 2.93x |
| 99239 | Hospital discharge day management, more than 30 minutes | 57 | $5.1K | $90.22 | 3.33x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 54 | $3.2K | $59.46 | 3.05x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 18 | $1.3K | $72.47 | 3.22x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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