This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 76% 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 | $320.10 | $82.08 | 3.90x | $238.02 | $219.9K | 2.6K | 1.9K |
| 2015 | $315.41 | $74.86 | 4.21x | $240.55 | $256.0K | 2.9K | 2.3K |
| 2016 | $357.50 | $80.80 | 4.42x | $276.70 | $286.0K | 3.2K | 2.5K |
| 2017 | $375.58 | $81.83 | 4.59x | $293.75 | $312.3K | 3.4K | 2.7K |
| 2018 | $429.20 | $90.29 | 4.75x | $338.91 | $323.6K | 3.4K | 2.7K |
| 2019 | $411.77 | $87.70 | 4.70x | $324.07 | $395.4K | 3.9K | 2.9K |
| 2020 | $412.32 | $88.10 | 4.68x | $324.22 | $356.5K | 3.5K | 2.7K |
| 2021 | $420.21 | $92.86 | 4.53x | $327.35 | $414.4K | 3.6K | 2.8K |
| 2022 | $446.20 | $95.31 | 4.68x | $350.89 | $385.0K | 3.2K | 2.6K |
| 2023 | $408.61 | $84.55 | 4.83x | $324.06 | $386.2K | 3.3K | 2.5K |
| 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 | 6.8K | $879.5K | $129.33 | 4.26x |
| 95911 | Nerve transmission studies, 9-10 studies | 2.6K | $545.4K | $213.64 | 2.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $426.6K | $109.16 | 3.19x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $343.9K | $63.34 | 2.44x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.6K | $326.3K | $58.08 | 4.10x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.6K | $239.6K | $91.64 | 2.79x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $183.5K | $142.28 | 3.21x |
| 72148 | MRI scan of lower spinal canal | 734 | $106.2K | $144.70 | 9.92x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 953 | $87.8K | $92.18 | 2.64x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 638 | $59.8K | $93.68 | 5.71x |
| 72141 | MRI scan of upper spinal canal | 254 | $35.2K | $138.45 | 9.68x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 515 | $25.0K | $48.56 | 3.00x |
| 62310 | Injections of substances into upper or middle spine | 227 | $18.6K | $82.15 | 2.76x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 272 | $14.8K | $54.50 | 3.39x |
| 72050 | X-ray of upper spine, 4 or 5 views | 209 | $10.2K | $48.93 | 3.05x |
| 27095 | Injection procedure for X-ray imaging of hip under anesthesia | 118 | $7.8K | $66.22 | 2.63x |
| 20553 | Injections of trigger points in 3 or more muscles | 126 | $7.3K | $57.81 | 2.93x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 123 | $4.4K | $35.69 | 3.25x |
| 72170 | X-ray of pelvis, 1 or 2 views | 118 | $3.3K | $27.83 | 2.89x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 50 | $2.8K | $56.48 | 10.28x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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