This provider averages 68 services per working day
Based on 67.9K total services over 4 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 302% from 2020 to 2023.
61% of their billing comes from a single procedure code (99308 — Subsequent nursing facility visit, typically 15 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 215% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $177.63 | $83.74 | 2.12x | $93.89 | $397.0K | 5.3K | 930 |
| 2021 | $328.49 | $92.49 | 3.55x | $236.00 | $1.3M | 17.9K | 1.3K |
| 2022 | $360.91 | $90.84 | 3.97x | $270.07 | $1.4M | 22.1K | 1.1K |
| 2023 | $384.33 | $101.88 | 3.77x | $282.45 | $1.6M | 22.6K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 46.6K | $2.8M | $60.31 | 3.76x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 19.9K | $1.6M | $81.45 | 3.47x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.3K | $191.2K | $143.31 | 3.36x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 49 | $3.9K | $79.04 | 1.64x |
This provider submits charges 3.64 times higher than what Medicare actually pays.
A markup ratio of 3.64x means for every $100 Medicare pays, this provider initially charges $364. 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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