This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Hand 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 | $533.73 | $185.12 | 2.88x | $348.61 | $353.2K | 4.4K | 3.7K |
| 2015 | $467.35 | $166.15 | 2.81x | $301.20 | $338.0K | 4.3K | 3.7K |
| 2016 | $496.07 | $165.67 | 2.99x | $330.40 | $370.5K | 4.7K | 4.1K |
| 2017 | $518.10 | $171.25 | 3.03x | $346.85 | $354.6K | 4.3K | 3.7K |
| 2018 | $518.10 | $176.02 | 2.94x | $342.08 | $351.6K | 4.3K | 3.7K |
| 2019 | $549.62 | $195.33 | 2.81x | $354.29 | $379.6K | 4.5K | 3.9K |
| 2020 | $461.12 | $175.85 | 2.62x | $285.27 | $309.7K | 3.7K | 3.2K |
| 2021 | $540.62 | $203.68 | 2.65x | $336.94 | $304.6K | 3.6K | 3.1K |
| 2022 | $470.06 | $172.16 | 2.73x | $297.90 | $289.3K | 3.4K | 3.0K |
| 2023 | $464.41 | $182.23 | 2.55x | $282.18 | $418.5K | 4.3K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 26055 | Incision of tendon covering | 1.8K | $710.9K | $398.92 | 2.86x |
| 29848 | Release of wrist ligament using an endoscope | 1.7K | $665.5K | $386.68 | 2.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 5.0K | $368.4K | $73.78 | 2.58x |
| 26040 | Release of tissues of palm, accessed through the skin | 834 | $199.8K | $239.58 | 2.34x |
| 25447 | Removal of bone joints between wrist and fingers | 295 | $193.4K | $655.64 | 2.35x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 4.8K | $162.1K | $33.92 | 3.39x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 306 | $144.6K | $472.44 | 2.43x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.2K | $133.8K | $32.02 | 2.35x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.3K | $131.2K | $56.76 | 2.47x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.6K | $130.9K | $49.67 | 2.58x |
| 26160 | Removal of growth of tendon finger or hand | 295 | $130.0K | $440.69 | 2.68x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 3.0K | $108.2K | $36.20 | 3.12x |
| 26480 | Transplant of tendon of hand | 320 | $101.8K | $318.16 | 3.95x |
| 76000 | Imaging guidance for procedure, up to 1 hour | 2.9K | $98.0K | $33.51 | 5.37x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 1.6K | $38.5K | $23.95 | 4.34x |
| J0702 | Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | 8.1K | $37.4K | $4.60 | 2.71x |
| 26860 | Fusion of finger joint | 55 | $21.5K | $390.47 | 2.98x |
| 25000 | Incision to repair tendon covering at wrist | 84 | $19.1K | $226.86 | 3.53x |
| 29125 | Application of non-moveable, short arm splint (forearm to hand) | 259 | $12.6K | $48.49 | 2.58x |
| 20680 | Removal of deep bone implant | 42 | $11.6K | $275.95 | 3.77x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data