This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 7859% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1957% 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 | $130.87 | $58.97 | 2.22x | $71.90 | $7.6K | 132 | 117 |
| 2015 | $3.8K | $562.54 | 6.71x | $3.2K | $155.5K | 459 | 421 |
| 2016 | $3.8K | $597.71 | 6.33x | $3.2K | $417.1K | 1.0K | 935 |
| 2017 | $4.1K | $681.38 | 6.04x | $3.4K | $455.1K | 1.2K | 1.1K |
| 2018 | $3.5K | $571.07 | 6.09x | $2.9K | $384.4K | 1.1K | 964 |
| 2019 | $2.6K | $591.07 | 4.43x | $2.0K | $420.1K | 1.2K | 1.0K |
| 2020 | $1.8K | $522.46 | 3.40x | $1.3K | $353.4K | 1.0K | 906 |
| 2021 | $2.3K | $639.77 | 3.55x | $1.6K | $502.3K | 1.3K | 1.1K |
| 2022 | $2.0K | $530.61 | 3.69x | $1.4K | $529.5K | 1.4K | 1.2K |
| 2023 | $2.3K | $567.23 | 4.05x | $1.7K | $601.5K | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 598 | $834.4K | $1.4K | 3.34x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 549 | $386.0K | $703.01 | 7.29x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 611 | $335.3K | $548.79 | 7.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $325.3K | $98.04 | 2.58x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 193 | $323.4K | $1.7K | 3.31x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 604 | $216.2K | $357.92 | 7.77x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 164 | $156.7K | $955.38 | 4.87x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 216 | $151.6K | $701.83 | 6.68x |
| 27280 | Fusion of sacroiliac joint obtaining bone graft open procedure | 82 | $131.5K | $1.6K | 3.11x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 80 | $125.3K | $1.6K | 3.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $117.1K | $91.65 | 2.66x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 393 | $93.5K | $237.85 | 3.87x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 424 | $81.9K | $193.25 | 5.87x |
| 22214 | Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (lumbar spine) to correct deformity | 87 | $71.1K | $816.74 | 4.70x |
| 22843 | Insertion of posterior spinal instrumentation for spinal stabilization, 7 to 12 vertebral segments | 61 | $45.9K | $751.72 | 6.22x |
| 22610 | Fusion of middle spine bones, posterior or posterolateral approach | 57 | $41.7K | $730.86 | 4.30x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 109 | $41.1K | $377.17 | 10.12x |
| 63267 | Removal of growth of lower spine bone outside spine membrane | 57 | $37.8K | $662.62 | 5.38x |
| 22802 | Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments | 15 | $28.4K | $1.9K | 3.58x |
| 22848 | Insertion of instrumentation to pelvic bones | 83 | $27.5K | $331.92 | 3.01x |
This provider submits charges 4.72 times higher than what Medicare actually pays.
A markup ratio of 4.72x means for every $100 Medicare pays, this provider initially charges $472. 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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