This provider's $3.3M in total Medicare payments ranks in the 98th 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 | $636.90 | $161.44 | 3.95x | $475.46 | $306.1K | 5.3K | 4.0K |
| 2015 | $554.27 | $125.78 | 4.41x | $428.49 | $299.4K | 5.4K | 3.9K |
| 2016 | $692.72 | $176.23 | 3.93x | $516.49 | $333.1K | 5.5K | 4.2K |
| 2017 | $627.33 | $164.78 | 3.81x | $462.55 | $332.2K | 5.2K | 3.8K |
| 2018 | $783.34 | $185.73 | 4.22x | $597.61 | $315.9K | 4.9K | 3.7K |
| 2019 | $676.58 | $159.62 | 4.24x | $516.96 | $336.6K | 5.3K | 4.1K |
| 2020 | $677.79 | $165.00 | 4.11x | $512.79 | $301.5K | 5.1K | 3.7K |
| 2021 | $660.32 | $178.79 | 3.69x | $481.53 | $375.2K | 6.1K | 4.4K |
| 2022 | $685.71 | $177.56 | 3.86x | $508.15 | $354.5K | 5.8K | 4.1K |
| 2023 | $633.54 | $149.43 | 4.24x | $484.11 | $360.7K | 5.8K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 798 | $762.7K | $955.82 | 4.14x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 12.0K | $544.2K | $45.32 | 4.98x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 439 | $418.1K | $952.44 | 3.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.9K | $392.3K | $49.81 | 2.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.7K | $252.0K | $68.71 | 2.64x |
| 73564 | X-ray of knee, 4 or more views | 3.3K | $94.2K | $28.15 | 3.38x |
| 29879 | Repair of knee joint using an endoscope | 192 | $89.9K | $468.32 | 4.32x |
| 27236 | Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement | 93 | $81.0K | $871.46 | 3.10x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 2.3K | $65.9K | $28.70 | 3.34x |
| 27245 | Surgical treatment of broken thigh bone | 72 | $64.1K | $890.91 | 3.59x |
| 64721 | Release and/or relocation of median nerve of hand | 225 | $56.2K | $249.63 | 4.43x |
| 73560 | X-ray of knee, 1 or 2 views | 2.0K | $41.1K | $20.89 | 3.11x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 56 | $39.1K | $698.87 | 2.58x |
| 73030 | X-ray of shoulder, minimum of 2 views | 1.9K | $38.9K | $20.59 | 3.83x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 404 | $33.9K | $83.91 | 2.86x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 253 | $33.1K | $130.66 | 2.30x |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 8.4K | $32.6K | $3.87 | 8.00x |
| 29881 | Removal of one knee cartilage using an endoscope | 148 | $22.3K | $150.65 | 13.45x |
| 27446 | Repair of knee joint | 27 | $21.5K | $796.56 | 3.86x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 51 | $20.6K | $403.73 | 4.02x |
This provider submits charges 3.87 times higher than what Medicare actually pays.
A markup ratio of 3.87x means for every $100 Medicare pays, this provider initially charges $387. 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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