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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Northwest Orthopaedic Specialists, P.S.
๐Ÿ”ช
Organization

Northwest Orthopaedic Specialists, P.S.

NPI: 1265401202
Spokane, WA
10 years of data
Ambulatory Surgical Center
$32.5M
Total Payments
293
Beneficiaries
128.4K
Services
3.12x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$32.5M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $32.5M over 10 years
23.12x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
412 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $32.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 136% from 2014 to 2023.

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 โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.4K$482.052.90x$914.21$1.7M3.6K26
2015$1.6K$531.102.95x$1.0K$2.3M4.3K31
2016$2.2K$733.322.97x$1.4K$3.3M4.5K31
2017$2.4K$755.393.17x$1.6K$3.9M5.2K31
2018$2.3K$730.433.13x$1.6K$3.7M5.1K29
2019$2.0K$623.123.24x$1.4K$3.3M5.3K33
2020$2.2K$715.813.11x$1.5K$3.2M4.4K28
2021$610.76$198.913.07x$411.85$3.7M18.7K27
2022$257.32$79.943.22x$177.38$3.3M41.1K30
2023$367.88$112.953.26x$254.93$4.1M36.3K27

Top Procedures (20)

63650Insertion of spinal neurostimulator electrode array through skin
$3.3M
895 services$3.7K/svc2.63x markup
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single levelโš  3.3x markup
$2.9M
11.1K services$263.55/svc3.32x markup
63685Insertion of spinal neurostimulator generator or receiverโš  3.3x markup
$2.9M
209 services$13.8K/svc3.26x markup
29827Repair of shoulder rotator cuff using an endoscopeโš  3.0x markup
$2.4M
1.4K services$1.8K/svc3.04x markup
27447Replacement of knee joint, both sides of kneeโš  3.5x markup
$2.2M
300 services$7.2K/svc3.46x markup
27130Replacement of thigh bone and hip joint with prosthesisโš  3.4x markup
$1.6M
216 services$7.4K/svc3.44x markup
62323Injection of substance into lower spine canal using imaging guidanceโš  3.3x markup
$1.4M
5.8K services$244.06/svc3.25x markup
C1822Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
$1.4M
74 services$18.2K/svc1.28x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet jointโš  3.2x markup
$1.3M
2.5K services$531.74/svc3.16x markup
64721Release and/or relocation of hand nerve
$1.2M
2.0K services$622.32/svc2.42x markup
29828Release of tendon connecting biceps muscle and shoulder using an endoscope
$1.2M
537 services$2.2K/svc2.52x markup
64493Injection of lower or sacral spine facet joint using imaging guidance, single levelโš  3.4x markup
$1.1M
4.1K services$260.84/svc3.37x markup
62311Injections of substances into lower or sacral spineโš  3.1x markup
$865.0K
3.0K services$287.08/svc3.08x markup
29862Removal or shaving of hip joint socket cartilage using an endoscope
$725.3K
333 services$2.2K/svc2.64x markup
29823Removal of extensive shoulder joint tissue using an endoscopeโš  6.1x markup
$673.9K
941 services$716.12/svc6.06x markup
26055Incision of tendon covering of fingerโš  3.5x markup
$663.4K
1.4K services$477.98/svc3.46x markup
29881Removal of knee cartilage using an endoscope
$661.1K
648 services$1.0K/svc2.58x markup
29824Partial removal of collar bone at shoulder using an endoscopeโš  5.8x markup
$560.7K
762 services$735.76/svc5.81x markup
28750Fusion of big toe at joint with foot
$478.2K
161 services$3.0K/svc2.88x markup
29880Removal of both knee cartilages using an endoscope
$417.9K
400 services$1.0K/svc2.51x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63650Insertion of spinal neurostimulator electrode array through skin895$3.3M$3.7K2.63x
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level11.1K$2.9M$263.553.32x
63685Insertion of spinal neurostimulator generator or receiver209$2.9M$13.8K3.26x
29827Repair of shoulder rotator cuff using an endoscope1.4K$2.4M$1.8K3.04x
27447Replacement of knee joint, both sides of knee300$2.2M$7.2K3.46x
27130Replacement of thigh bone and hip joint with prosthesis216$1.6M$7.4K3.44x
62323Injection of substance into lower spine canal using imaging guidance5.8K$1.4M$244.063.25x
C1822Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system74$1.4M$18.2K1.28x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint2.5K$1.3M$531.743.16x
64721Release and/or relocation of hand nerve2.0K$1.2M$622.322.42x
29828Release of tendon connecting biceps muscle and shoulder using an endoscope537$1.2M$2.2K2.52x
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4.1K$1.1M$260.843.37x
62311Injections of substances into lower or sacral spine3.0K$865.0K$287.083.08x
29862Removal or shaving of hip joint socket cartilage using an endoscope333$725.3K$2.2K2.64x
29823Removal of extensive shoulder joint tissue using an endoscope941$673.9K$716.126.06x
26055Incision of tendon covering of finger1.4K$663.4K$477.983.46x
29881Removal of knee cartilage using an endoscope648$661.1K$1.0K2.58x
29824Partial removal of collar bone at shoulder using an endoscope762$560.7K$735.765.81x
28750Fusion of big toe at joint with foot161$478.2K$3.0K2.88x
29880Removal of both knee cartilages using an endoscope400$417.9K$1.0K2.51x

Markup Analysis

Charge-to-Payment Ratio

3.12x

This provider submits charges 3.12 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. This is higher than the national average.

Location

Spokane, WA

Provider Verification

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

Similar Providers

Other Ambulatory Surgical Center providers in WA for peer comparison.

Northwest Orthopaedic Specialists, P.S. (you)
$32.5M
Olympia Orthopaedic Associates Pllc
$38.7M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Olympia Orthopaedic Associates PllcOlympia, WA$38.7Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข 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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