This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.57x is significantly above the specialty median of 4.7x.
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 | $1.7K | $318.55 | 5.48x | $1.4K | $363.2K | 2.5K | 2.1K |
| 2015 | $3.2K | $393.26 | 8.09x | $2.8K | $469.6K | 2.7K | 2.2K |
| 2016 | $3.1K | $317.76 | 9.77x | $2.8K | $480.5K | 3.2K | 2.7K |
| 2017 | $3.0K | $328.31 | 9.07x | $2.7K | $371.5K | 2.6K | 2.2K |
| 2018 | $3.0K | $332.64 | 9.02x | $2.7K | $492.6K | 2.7K | 2.3K |
| 2019 | $2.5K | $326.84 | 7.76x | $2.2K | $502.9K | 2.7K | 2.3K |
| 2020 | $2.7K | $337.48 | 7.89x | $2.3K | $429.2K | 2.2K | 1.8K |
| 2021 | $2.9K | $341.03 | 8.39x | $2.5K | $479.0K | 2.4K | 1.9K |
| 2022 | $2.8K | $336.75 | 8.33x | $2.5K | $392.6K | 2.1K | 1.7K |
| 2023 | $2.7K | $306.61 | 8.97x | $2.4K | $388.0K | 2.1K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 569 | $674.9K | $1.2K | 8.20x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 485 | $274.9K | $566.81 | 12.07x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 437 | $271.4K | $621.09 | 7.56x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 533 | $268.9K | $504.44 | 11.24x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $258.9K | $60.40 | 3.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.1K | $253.1K | $82.90 | 4.00x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 179 | $248.0K | $1.4K | 7.80x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 4.8K | $180.8K | $38.06 | 4.03x |
| 63655 | Implantation of spinal neurostimulator electrodes | 260 | $160.9K | $618.84 | 8.17x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 490 | $154.8K | $315.82 | 7.60x |
| 72148 | MRI scan of lower spinal canal | 1.1K | $145.0K | $130.53 | 5.92x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 634 | $131.9K | $208.06 | 7.99x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 883 | $108.1K | $122.45 | 4.18x |
| 22533 | Fusion of lower spine bones with removal of disc, lateral approach | 81 | $107.3K | $1.3K | 7.85x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 168 | $100.2K | $596.46 | 7.30x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 207 | $69.0K | $333.43 | 6.62x |
| 22585 | Fusion of spine bones with removal of disc, anterior approach | 369 | $69.0K | $186.87 | 6.69x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 314 | $67.1K | $213.74 | 5.53x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 383 | $66.3K | $173.21 | 7.59x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 99 | $61.0K | $616.12 | 12.41x |
This provider submits charges 7.57 times higher than what Medicare actually pays.
A markup ratio of 7.57x means for every $100 Medicare pays, this provider initially charges $757. 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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