This provider's $6.4M in total Medicare payments ranks in the 99th 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 | $407.74 | $174.99 | 2.33x | $232.75 | $631.8K | 8.0K | 4.5K |
| 2015 | $361.11 | $167.73 | 2.15x | $193.38 | $594.3K | 8.2K | 4.5K |
| 2016 | $396.21 | $186.09 | 2.13x | $210.12 | $691.7K | 9.3K | 5.0K |
| 2017 | $422.91 | $173.66 | 2.44x | $249.25 | $657.2K | 9.8K | 5.0K |
| 2018 | $479.25 | $203.31 | 2.36x | $275.94 | $692.4K | 10.5K | 5.4K |
| 2019 | $416.96 | $196.46 | 2.12x | $220.50 | $697.9K | 10.0K | 5.1K |
| 2020 | $297.25 | $154.20 | 1.93x | $143.05 | $515.9K | 8.0K | 4.2K |
| 2021 | $419.32 | $186.49 | 2.25x | $232.83 | $698.4K | 9.2K | 4.8K |
| 2022 | $390.53 | $178.22 | 2.19x | $212.31 | $646.6K | 8.6K | 4.6K |
| 2023 | $313.97 | $144.42 | 2.17x | $169.55 | $562.8K | 8.2K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 12.5K | $1.0M | $83.75 | 1.82x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 12.9K | $660.7K | $51.19 | 1.97x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.0K | $459.2K | $57.69 | 2.07x |
| 27447 | Repair of knee joint | 381 | $446.8K | $1.2K | 1.94x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 3.4K | $346.1K | $101.88 | 1.91x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 4.8K | $324.0K | $67.94 | 1.96x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $309.2K | $88.52 | 2.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $278.4K | $118.69 | 2.21x |
| 27370 | Injection procedure for X-ray imaging of knee | 1.9K | $237.6K | $123.18 | 2.05x |
| 23350 | Injection of dye for X-ray imaging of shoulder joint | 2.0K | $227.6K | $116.35 | 1.94x |
| 27369 | Injection of contrast for imaging of knee joint | 1.5K | $194.7K | $132.34 | 1.93x |
| 73040 | Radiological supervision and interpretation X-ray of shoulder joint | 1.9K | $179.9K | $92.30 | 2.18x |
| 27446 | Repair of knee joint | 173 | $175.6K | $1.0K | 1.90x |
| 73564 | X-ray of knee, 4 or more views | 4.7K | $159.1K | $33.98 | 1.94x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 128 | $151.8K | $1.2K | 1.97x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 132 | $121.4K | $919.46 | 2.00x |
| 27093 | Injection of dye for X-ray imaging of hip joint | 658 | $108.2K | $164.39 | 1.97x |
| 29879 | Repair of knee joint using an endoscope | 172 | $97.9K | $569.04 | 1.95x |
| 73562 | X-ray of knee, 3 views | 3.2K | $91.7K | $28.86 | 2.04x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 6.8K | $65.3K | $9.66 | 2.20x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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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