This provider averages 62 services per working day
Based on 155.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.0M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 65% 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 | $986.76 | $304.19 | 3.24x | $682.57 | $960.3K | 12.1K | 8.6K |
| 2015 | $877.04 | $259.87 | 3.37x | $617.17 | $1.1M | 12.9K | 9.2K |
| 2016 | $1.1K | $322.79 | 3.28x | $735.51 | $1.1M | 11.7K | 8.3K |
| 2017 | $797.93 | $256.49 | 3.11x | $541.44 | $1.4M | 14.3K | 10.1K |
| 2018 | $750.70 | $243.73 | 3.08x | $506.97 | $1.2M | 13.7K | 10.0K |
| 2019 | $879.50 | $288.34 | 3.05x | $591.16 | $1.6M | 17.2K | 12.2K |
| 2020 | $920.19 | $315.35 | 2.92x | $604.84 | $1.6M | 16.1K | 11.1K |
| 2021 | $838.49 | $285.30 | 2.94x | $553.19 | $1.8M | 20.0K | 13.5K |
| 2022 | $779.64 | $250.55 | 3.11x | $529.09 | $1.7M | 19.5K | 12.9K |
| 2023 | $673.21 | $202.84 | 3.32x | $470.37 | $1.6M | 17.8K | 12.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint prosthesis | 3.0K | $3.3M | $1.1K | 3.24x |
| 27447 | Repair of knee joint | 2.3K | $2.5M | $1.1K | 3.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 36.2K | $2.1M | $56.90 | 2.66x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 18.1K | $950.4K | $52.62 | 3.51x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $610.4K | $83.80 | 2.72x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 736 | $551.3K | $749.07 | 1.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.7K | $535.5K | $114.69 | 3.08x |
| 27487 | Revision of lower thigh bone and both shin bone components of total knee joint prosthesis | 280 | $407.5K | $1.5K | 3.01x |
| 73564 | X-ray of knee, 4 or more views | 9.5K | $284.2K | $29.91 | 3.21x |
| 27137 | Revision of hip joint prosthesis | 200 | $242.9K | $1.2K | 3.04x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 11.1K | $222.7K | $20.00 | 3.49x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $206.8K | $75.76 | 3.02x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 356 | $201.7K | $566.65 | 4.12x |
| 73562 | X-ray of knee, 3 views | 7.4K | $196.0K | $26.59 | 3.12x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 5.7K | $166.5K | $29.43 | 3.43x |
| 73501 | X-ray of hip with pelvis, 1 view | 7.6K | $164.0K | $21.66 | 3.37x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.3K | $152.9K | $115.32 | 2.56x |
| 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 | 3.5K | $145.9K | $41.29 | 1.82x |
| 0054T | Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation | 620 | $124.4K | $200.70 | 2.49x |
| 27134 | Revision of thigh bone and hip joint prosthesis | 74 | $116.3K | $1.6K | 3.09x |
This provider submits charges 3.11 times higher than what Medicare actually pays.
A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. 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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