This provider averages 76 services per working day
Based on 132.7K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Averaging 76 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 970% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 731% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $154.95 | $47.84 | 3.24x | $107.11 | $85.1K | 1.9K | 835 |
| 2018 | $221.93 | $72.72 | 3.05x | $149.21 | $706.6K | 15.2K | 4.1K |
| 2019 | $179.99 | $53.79 | 3.35x | $126.20 | $1.2M | 27.7K | 5.6K |
| 2020 | $163.49 | $47.76 | 3.42x | $115.73 | $1.0M | 20.6K | 4.4K |
| 2021 | $122.28 | $47.80 | 2.56x | $74.48 | $924.5K | 22.0K | 3.8K |
| 2022 | $99.52 | $36.24 | 2.75x | $63.28 | $937.2K | 22.4K | 4.0K |
| 2023 | $115.20 | $42.08 | 2.74x | $73.12 | $909.8K | 23.0K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 26.9K | $2.1M | $78.65 | 2.75x |
| 27369 | Injection of contrast for imaging of knee joint | 9.8K | $1.1M | $107.57 | 3.33x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 16.3K | $816.6K | $50.07 | 2.66x |
| 27370 | Injection of contract for X-ray imaging of knee | 3.3K | $461.9K | $140.27 | 3.87x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 2.9K | $340.5K | $118.36 | 3.20x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 2.5K | $218.9K | $88.09 | 2.78x |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 3.3K | $193.6K | $59.22 | 3.10x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 18.1K | $179.6K | $9.92 | 2.15x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 938 | $96.5K | $102.86 | 2.80x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $75.9K | $34.09 | 2.66x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.5K | $71.1K | $48.31 | 3.16x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 507 | $33.9K | $66.84 | 3.47x |
| J3490 | Unclassified drugs | 50 | $22.5K | $450.63 | 2.46x |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 375 | $17.3K | $46.08 | 2.51x |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1.2K | $16.9K | $14.10 | 2.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 348 | $14.1K | $40.61 | 4.83x |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 16.3K | $12.1K | $0.74 | 2.51x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 166 | $7.8K | $47.02 | 2.51x |
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 748 | $7.1K | $9.53 | 2.79x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 295 | $4.2K | $14.25 | 2.69x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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