This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Physical Medicine and Rehabilitation providers nationally.
Medicare payments to this provider grew 545% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $614.94 | $71.21 | 8.64x | $543.73 | $140.4K | 2.6K | 1.1K |
| 2015 | $671.34 | $68.78 | 9.76x | $602.56 | $237.3K | 3.8K | 1.8K |
| 2016 | $732.17 | $79.30 | 9.23x | $652.87 | $297.3K | 4.7K | 1.9K |
| 2017 | $736.60 | $75.72 | 9.73x | $660.88 | $359.4K | 5.7K | 2.3K |
| 2018 | $907.28 | $82.18 | 11.04x | $825.10 | $445.6K | 6.8K | 2.9K |
| 2019 | $787.39 | $81.22 | 9.69x | $706.17 | $398.5K | 6.4K | 2.9K |
| 2020 | $498.67 | $72.12 | 6.91x | $426.55 | $503.9K | 7.7K | 3.3K |
| 2021 | $1.0K | $99.28 | 10.08x | $901.59 | $770.8K | 9.7K | 4.2K |
| 2022 | $1.1K | $92.22 | 11.90x | $1.0K | $832.1K | 10.9K | 4.7K |
| 2023 | $684.50 | $83.62 | 8.19x | $600.88 | $905.5K | 12.3K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 27.2K | $2.4M | $88.25 | 3.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.0K | $745.8K | $53.30 | 2.59x |
| 80307 | Testing for presence of drug | 6.7K | $407.7K | $60.60 | 5.35x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.7K | $302.2K | $179.04 | 8.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $255.0K | $125.64 | 3.73x |
| G0396 | Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 2.3K | $63.3K | $28.10 | 2.49x |
| 64484 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 795 | $61.4K | $77.28 | 8.39x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 387 | $57.0K | $147.35 | 10.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 351 | $48.0K | $136.74 | 5.10x |
| G0444 | Annual depression screening, 15 minutes | 2.2K | $41.0K | $18.41 | 2.72x |
| 95911 | Nerve transmission studies, 9-10 studies | 166 | $31.1K | $187.60 | 6.96x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 146 | $31.0K | $212.32 | 6.54x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 375 | $27.5K | $73.39 | 5.59x |
| 72148 | Mri scan of lower spinal canal | 169 | $27.4K | $161.89 | 5.39x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 185 | $25.9K | $140.01 | 12.71x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 149 | $25.1K | $168.47 | 8.15x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 301 | $24.7K | $82.13 | 10.54x |
| 97813 | Acupuncture with electrical stimulation, initial 15 minutes | 672 | $23.8K | $35.35 | 3.25x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 640 | $23.3K | $36.40 | 4.67x |
| G0434 | Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter | 1.2K | $23.2K | $19.34 | 11.03x |
This provider submits charges 4.29 times higher than what Medicare actually pays.
A markup ratio of 4.29x means for every $100 Medicare pays, this provider initially charges $429. 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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