This provider's $3.6M in total Medicare payments ranks in the 98th 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.
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 | $210.25 | $86.53 | 2.43x | $123.72 | $253.3K | 3.2K | 1.7K |
| 2015 | $219.63 | $86.29 | 2.55x | $133.34 | $327.1K | 3.8K | 1.9K |
| 2016 | $251.31 | $91.97 | 2.73x | $159.34 | $349.3K | 3.5K | 1.9K |
| 2017 | $255.48 | $100.00 | 2.55x | $155.48 | $310.3K | 3.3K | 1.8K |
| 2018 | $281.07 | $106.30 | 2.64x | $174.77 | $353.4K | 3.5K | 1.8K |
| 2019 | $302.85 | $115.36 | 2.63x | $187.49 | $361.6K | 3.3K | 1.8K |
| 2020 | $273.78 | $128.06 | 2.14x | $145.72 | $432.5K | 3.0K | 1.5K |
| 2021 | $291.21 | $155.23 | 1.88x | $135.98 | $450.4K | 3.1K | 1.6K |
| 2022 | $275.15 | $129.15 | 2.13x | $146.00 | $413.1K | 2.9K | 1.6K |
| 2023 | $282.03 | $123.38 | 2.29x | $158.65 | $361.4K | 2.7K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.5K | $769.4K | $218.90 | 2.42x |
| 64640 | Destruction of peripheral nerve or branch | 2.9K | $605.2K | $208.25 | 1.96x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 4.8K | $273.6K | $56.63 | 2.82x |
| 95910 | Nerve transmission studies, 7-8 studies | 1.8K | $272.7K | $152.34 | 1.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.0K | $239.7K | $59.70 | 1.95x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 952 | $177.7K | $186.66 | 2.31x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.1K | $168.1K | $81.12 | 2.73x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.8K | $140.6K | $76.64 | 1.89x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 683 | $136.7K | $200.19 | 2.44x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 705 | $126.6K | $179.59 | 2.23x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 490 | $115.1K | $234.83 | 1.98x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $113.1K | $83.67 | 2.28x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 945 | $91.5K | $96.87 | 2.42x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 826 | $79.2K | $95.84 | 2.28x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 684 | $69.4K | $101.47 | 3.43x |
| 64492 | Injections of upper or middle spine facet joint using imaging guidance | 588 | $59.5K | $101.11 | 3.45x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 1.4K | $41.7K | $29.58 | 3.55x |
| 64480 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 345 | $35.9K | $104.09 | 1.96x |
| 64405 | Injection of anesthetic agent, greater occipital nerve | 348 | $23.7K | $68.23 | 1.91x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 575 | $22.0K | $38.33 | 2.89x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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