This provider averages 54 services per working day
Based on 134.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
63% 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.
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 | $166.38 | $81.09 | 2.05x | $85.29 | $1.1M | 17.9K | 4.3K |
| 2015 | $165.49 | $76.25 | 2.17x | $89.24 | $941.0K | 16.0K | 4.1K |
| 2016 | $164.15 | $76.88 | 2.14x | $87.27 | $758.4K | 12.8K | 3.7K |
| 2017 | $175.54 | $75.82 | 2.32x | $99.72 | $613.0K | 9.5K | 3.5K |
| 2018 | $170.12 | $80.31 | 2.12x | $89.81 | $596.8K | 8.7K | 3.7K |
| 2019 | $162.78 | $77.85 | 2.09x | $84.93 | $607.3K | 9.3K | 3.3K |
| 2020 | $151.63 | $78.68 | 1.93x | $72.95 | $748.2K | 11.5K | 3.1K |
| 2021 | $123.12 | $47.89 | 2.57x | $75.23 | $945.1K | 16.2K | 4.3K |
| 2022 | $125.33 | $58.62 | 2.14x | $66.71 | $908.2K | 16.4K | 5.6K |
| 2023 | $129.49 | $64.29 | 2.01x | $65.20 | $957.7K | 15.8K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 88.2K | $5.1M | $57.92 | 1.92x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 15.1K | $1.6M | $108.20 | 2.01x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 16.5K | $596.2K | $36.23 | 2.34x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.4K | $144.4K | $60.43 | 2.40x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time per calendar month | 3.0K | $133.8K | $45.10 | 2.65x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 1.3K | $98.8K | $76.95 | 1.87x |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 2.3K | $91.0K | $39.31 | 3.00x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 480 | $80.7K | $168.05 | 2.10x |
| 99439 | Chronic care management services, each additional 20 minutes of clinical staff time per calendar month | 1.7K | $59.5K | $34.73 | 2.30x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 704 | $42.7K | $60.65 | 1.97x |
| 99487 | Complex chronic care management services, first 60 minutes clinical staff time per calendar month | 410 | $40.5K | $98.75 | 1.92x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 425 | $32.4K | $76.25 | 1.97x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 687 | $28.4K | $41.35 | 3.16x |
| 99489 | Complex chronic care management services, each additional 60 minutes clinical staff time per calendar month | 410 | $21.3K | $52.01 | 1.73x |
| 99239 | Hospital discharge day management, more than 30 minutes | 122 | $11.0K | $90.05 | 2.19x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 111 | $9.7K | $87.38 | 1.95x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 189 | $6.3K | $33.41 | 3.98x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 47 | $5.3K | $113.50 | 1.83x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 57 | $5.1K | $88.84 | 2.35x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 15 | $2.1K | $139.93 | 1.97x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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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