This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 114% 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 | $123.11 | $55.45 | 2.22x | $67.66 | $235.0K | 4.1K | 2.6K |
| 2015 | $125.80 | $45.48 | 2.77x | $80.32 | $265.7K | 4.5K | 2.9K |
| 2016 | $128.85 | $43.20 | 2.98x | $85.65 | $280.5K | 5.0K | 3.0K |
| 2017 | $198.28 | $50.33 | 3.94x | $147.95 | $268.5K | 4.6K | 3.0K |
| 2018 | $203.75 | $51.55 | 3.95x | $152.20 | $330.3K | 5.4K | 3.4K |
| 2019 | $195.33 | $54.34 | 3.59x | $140.99 | $366.9K | 5.6K | 3.5K |
| 2020 | $207.95 | $62.63 | 3.32x | $145.32 | $248.9K | 3.4K | 2.3K |
| 2021 | $192.91 | $62.81 | 3.07x | $130.10 | $373.3K | 5.1K | 3.4K |
| 2022 | $204.25 | $52.70 | 3.88x | $151.55 | $418.7K | 6.4K | 4.2K |
| 2023 | $289.90 | $59.54 | 4.87x | $230.36 | $502.5K | 7.5K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 8.2K | $747.9K | $91.49 | 4.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.6K | $616.1K | $71.70 | 3.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.7K | $455.2K | $97.32 | 3.01x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 3.7K | $242.2K | $65.46 | 4.25x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.4K | $222.4K | $91.81 | 3.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $149.9K | $137.74 | 3.86x |
| 73560 | X-ray of knee, 1 or 2 views | 3.4K | $113.7K | $33.26 | 3.13x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 796 | $99.5K | $124.97 | 4.38x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 2.2K | $77.8K | $34.76 | 3.54x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.4K | $70.9K | $50.82 | 3.61x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 1.4K | $64.0K | $46.05 | 3.71x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 518 | $59.8K | $115.37 | 2.81x |
| J7333 | Hyaluronan or derivative, visco-3, for intra-articular injection, per dose | 188 | $53.0K | $281.87 | 1.77x |
| 73030 | X-ray of shoulder, minimum of 2 views | 1.6K | $47.5K | $29.93 | 3.77x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 629 | $26.5K | $42.18 | 3.13x |
| 73110 | X-ray of wrist, minimum of 3 views | 506 | $18.3K | $36.17 | 2.94x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 253 | $17.1K | $67.60 | 3.73x |
| 72040 | X-ray of spine of neck, 2 or 3 views | 490 | $16.8K | $34.18 | 3.96x |
| 73520 | X-ray of both hips minimum 2 views | 439 | $16.2K | $36.79 | 2.18x |
| 72170 | X-ray of pelvis, 1 or 2 views | 432 | $12.5K | $28.86 | 3.76x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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