This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $615.71 | $132.53 | 4.65x | $483.18 | $492.4K | 5.5K | 3.3K |
| 2015 | $893.84 | $184.20 | 4.85x | $709.64 | $497.9K | 5.1K | 3.4K |
| 2016 | $1.1K | $206.02 | 5.31x | $888.16 | $548.8K | 5.2K | 3.6K |
| 2017 | $820.96 | $174.77 | 4.70x | $646.19 | $517.8K | 4.7K | 3.5K |
| 2018 | $826.11 | $180.94 | 4.57x | $645.17 | $482.5K | 4.5K | 3.2K |
| 2019 | $961.66 | $239.62 | 4.01x | $722.04 | $558.3K | 3.9K | 3.0K |
| 2020 | $883.85 | $221.70 | 3.99x | $662.15 | $568.1K | 3.7K | 3.0K |
| 2021 | $1.2K | $218.02 | 5.32x | $942.70 | $588.2K | 3.8K | 3.1K |
| 2022 | $1.3K | $226.93 | 5.63x | $1.1K | $556.3K | 3.7K | 3.0K |
| 2023 | $1.5K | $225.63 | 6.51x | $1.2K | $514.4K | 3.8K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 1.2K | $1.4M | $1.2K | 5.72x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.2K | $797.3K | $676.85 | 1.89x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 635 | $767.0K | $1.2K | 5.51x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.3K | $409.6K | $56.05 | 5.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.3K | $312.5K | $58.70 | 2.95x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 2.5K | $302.6K | $122.95 | 1.78x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $142.5K | $79.01 | 3.12x |
| 27446 | Repair of knee joint | 120 | $129.5K | $1.1K | 5.58x |
| 73564 | X-ray of knee, 4 or more views | 3.5K | $122.6K | $34.96 | 3.88x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.5K | $122.4K | $35.10 | 2.84x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 640 | $81.3K | $127.04 | 2.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 745 | $70.9K | $95.19 | 2.86x |
| 73562 | X-ray of knee, 3 views | 2.2K | $64.5K | $28.94 | 3.80x |
| 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 | 1.3K | $57.1K | $44.75 | 2.51x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 1.6K | $56.2K | $34.43 | 4.05x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 79 | $52.2K | $660.95 | 1.74x |
| 73721 | MRI scan of leg joint | 404 | $50.8K | $125.85 | 9.26x |
| 27236 | Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement | 47 | $49.6K | $1.1K | 4.76x |
| 72148 | MRI scan of lower spinal canal | 302 | $34.2K | $113.23 | 10.89x |
| 27245 | Surgical treatment of broken thigh bone | 28 | $30.5K | $1.1K | 4.72x |
This provider submits charges 4.34 times higher than what Medicare actually pays.
A markup ratio of 4.34x means for every $100 Medicare pays, this provider initially charges $434. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data