This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 80% from 2014 to 2023.
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 | $915.89 | $183.48 | 4.99x | $732.41 | $407.6K | 5.3K | 3.5K |
| 2015 | $949.86 | $191.06 | 4.97x | $758.80 | $432.2K | 5.7K | 3.8K |
| 2016 | $949.10 | $192.85 | 4.92x | $756.25 | $530.0K | 6.9K | 4.7K |
| 2017 | $1.0K | $206.66 | 4.86x | $797.37 | $552.3K | 7.3K | 5.0K |
| 2018 | $1.8K | $349.55 | 5.28x | $1.5K | $683.0K | 7.8K | 5.2K |
| 2019 | $1.4K | $320.81 | 4.22x | $1.0K | $807.6K | 8.1K | 5.5K |
| 2020 | $1.4K | $322.49 | 4.43x | $1.1K | $759.1K | 6.9K | 4.9K |
| 2021 | $1.3K | $287.71 | 4.59x | $1.0K | $938.4K | 8.3K | 5.9K |
| 2022 | $1.3K | $280.67 | 4.70x | $1.0K | $852.9K | 7.5K | 5.2K |
| 2023 | $1.3K | $249.56 | 5.37x | $1.1K | $734.6K | 7.3K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 941 | $1.1M | $1.2K | 6.03x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 850 | $1.0M | $1.2K | 5.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $909.9K | $64.37 | 2.27x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.1K | $799.3K | $709.89 | 1.91x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.3K | $425.3K | $58.58 | 3.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.2K | $395.9K | $95.21 | 2.11x |
| 73565 | X-ray of both knees, standing, front to back view | 10.6K | $352.3K | $33.25 | 3.19x |
| 73560 | X-ray of knee, 1 or 2 views | 10.7K | $310.9K | $29.03 | 3.65x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.2K | $277.8K | $86.28 | 2.51x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 5.7K | $223.4K | $38.99 | 2.69x |
| 20985 | Computer-assisted surgical navigational procedure for bone procedures | 1.3K | $176.1K | $133.79 | 2.53x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 195 | $160.7K | $824.21 | 2.85x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 724 | $143.2K | $197.75 | 2.47x |
| 27446 | Repair of knee joint | 111 | $113.8K | $1.0K | 6.51x |
| 73525 | Radiological supervision and interpretation X-ray of hip joint | 723 | $80.5K | $111.34 | 5.35x |
| 73510 | X-ray of ribs of one side of body, minimum of 2 views | 1.2K | $40.5K | $33.53 | 3.13x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 786 | $37.6K | $47.82 | 2.17x |
| 27487 | Revision of lower thigh bone and both shin bone components of total knee joint prosthesis | 11 | $17.2K | $1.6K | 5.54x |
| 73521 | X-ray of both hips with pelvis, 2 views | 441 | $15.5K | $35.05 | 3.51x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 313 | $10.2K | $32.53 | 3.26x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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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