Insurance reimb question

[Guest guest]

If Medicare typically pays better than a private insurer, and the Medicare

payment for a Non-

facility billing 4 units per hour that only uses treatment codes 97110, 97112,

97140, 97530,

97535, which max out at $30.38 per unit for FL/Miami region (for 97535), is it

logical to

deduce, then, that the maximum Medicare (or any insurer) will pay is $30.38 x 4

= $121.52

per patient? I realize this doesn't apply to eval or re-eval.

Thanks,

B Schroedter, PT

Miami, FL