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Methodology•Download Data
  1. Home
  2. Providers
  3. Joshua Hackel
⚕️
MDIndividual

Joshua Hackel, MD

NPI: 1225020936
Gulf Breeze, FL
10 years of data
Sports Medicine
$4.2M
Total Payments
37.6K
Beneficiaries
53.5K
Services
3.39x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.2M
Specialty median$71.5K

📋 Key Findings

1Billed $4.2M over 10 years
23.39x markup ratio (above median)
399th percentile in Sports Medicine by payments
418 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Sports Medicine providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$195.64$54.303.60x$141.34$306.3K5.0K3.2K
2015$249.86$52.234.78x$197.63$268.8K4.7K3.2K
2016$161.79$34.384.71x$127.41$260.6K5.2K3.8K
2017$237.56$48.044.95x$189.52$290.5K5.2K3.5K
2018$237.33$49.824.76x$187.51$360.4K6.1K4.1K
2019$297.67$72.074.13x$225.60$523.6K6.2K4.4K
2020$461.75$117.203.94x$344.55$552.2K4.5K3.3K
2021$368.59$99.473.71x$269.12$717.3K5.3K3.9K
2022$318.63$80.813.94x$237.82$564.0K5.4K4.1K
2023$361.99$68.055.32x$293.94$360.6K5.8K4.1K

Top Procedures (20)

J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
$1.3M
1.6K services$823.36/svc2.18x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.5x markup
$786.3K
9.4K services$83.56/svc3.54x markup
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose⚠ 3.0x markup
$411.0K
3.5K services$116.99/svc3.04x markup
20611Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance⚠ 4.3x markup
$377.8K
5.5K services$69.15/svc4.29x markup
20610Aspiration and/or injection of large joint or joint capsule⚠ 4.0x markup
$316.9K
6.7K services$47.19/svc4.00x markup
99203New patient office or other outpatient visit, typically 30 minutes⚠ 3.4x markup
$257.5K
3.4K services$76.12/svc3.39x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$193.7K
3.4K services$57.72/svc2.86x markup
76881Ultrasound of leg or arm⚠ 4.7x markup
$81.1K
1.2K services$69.33/svc4.69x markup
99204New patient outpatient visit, total time 45-59 minutes⚠ 4.1x markup
$75.4K
638 services$118.17/svc4.14x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle⚠ 7.8x markup
$53.7K
1.1K services$49.57/svc7.80x markup
73564X-ray of knee, 4 or more views⚠ 3.8x markup
$43.6K
1.3K services$32.49/svc3.79x markup
64454Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance⚠ 5.0x markup
$42.7K
288 services$148.17/svc4.98x markup
64624Destruction of genicular nerve branches of knee by injection using imaging guidance⚠ 9.1x markup
$40.2K
363 services$110.84/svc9.14x markup
64640Destruction of peripheral nerve or branch⚠ 8.4x markup
$28.2K
533 services$52.97/svc8.43x markup
73502X-ray of hip with pelvis, 2-3 views⚠ 4.5x markup
$22.1K
858 services$25.76/svc4.52x markup
73030X-ray of shoulder, minimum of 2 views⚠ 4.3x markup
$20.0K
1.1K services$18.18/svc4.32x markup
10160Aspiration of abscess, blood accumulation, blister, or cyst⚠ 3.6x markup
$18.0K
194 services$93.03/svc3.56x markup
64555Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin⚠ 3.7x markup
$12.9K
11 services$1.2K/svc3.70x markup
64450Injection of anesthetic agent, other peripheral nerve or branch⚠ 12.2x markup
$12.3K
413 services$29.68/svc12.24x markup
73562X-ray of knee, 3 views⚠ 4.6x markup
$11.6K
857 services$13.51/svc4.62x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose1.6K$1.3M$823.362.18x
99214Established patient office or other outpatient, visit typically 25 minutes9.4K$786.3K$83.563.54x
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose3.5K$411.0K$116.993.04x
20611Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance5.5K$377.8K$69.154.29x
20610Aspiration and/or injection of large joint or joint capsule6.7K$316.9K$47.194.00x
99203New patient office or other outpatient visit, typically 30 minutes3.4K$257.5K$76.123.39x
99213Established patient office or other outpatient visit, typically 15 minutes3.4K$193.7K$57.722.86x
76881Ultrasound of leg or arm1.2K$81.1K$69.334.69x
99204New patient outpatient visit, total time 45-59 minutes638$75.4K$118.174.14x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1.1K$53.7K$49.577.80x
73564X-ray of knee, 4 or more views1.3K$43.6K$32.493.79x
64454Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance288$42.7K$148.174.98x
64624Destruction of genicular nerve branches of knee by injection using imaging guidance363$40.2K$110.849.14x
64640Destruction of peripheral nerve or branch533$28.2K$52.978.43x
73502X-ray of hip with pelvis, 2-3 views858$22.1K$25.764.52x
73030X-ray of shoulder, minimum of 2 views1.1K$20.0K$18.184.32x
10160Aspiration of abscess, blood accumulation, blister, or cyst194$18.0K$93.033.56x
64555Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin11$12.9K$1.2K3.70x
64450Injection of anesthetic agent, other peripheral nerve or branch413$12.3K$29.6812.24x
73562X-ray of knee, 3 views857$11.6K$13.514.62x

Markup Analysis

Charge-to-Payment Ratio

3.39x

This provider submits charges 3.39 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. This is higher than the national average.

Location

Gulf Breeze, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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