This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.7x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 46660% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 18863% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $174.00 | $71.95 | 2.42x | $102.05 | $2.1K | 28 | 27 |
| 2016 | $2.9K | $296.88 | 9.89x | $2.6K | $392.7K | 1.8K | 1.5K |
| 2017 | $3.0K | $338.03 | 8.79x | $2.6K | $792.2K | 3.8K | 3.2K |
| 2018 | $2.7K | $309.28 | 8.66x | $2.4K | $716.4K | 3.6K | 2.8K |
| 2019 | $2.9K | $337.70 | 8.57x | $2.6K | $998.3K | 5.3K | 4.0K |
| 2020 | $2.6K | $329.95 | 7.92x | $2.3K | $848.8K | 4.5K | 3.5K |
| 2021 | $1.7K | $328.07 | 5.32x | $1.4K | $738.7K | 3.4K | 2.9K |
| 2022 | $1.7K | $308.99 | 5.63x | $1.4K | $952.3K | 4.2K | 3.4K |
| 2023 | $1.8K | $317.00 | 5.63x | $1.5K | $968.4K | 4.5K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27134 | Revision of thigh bone and hip joint prosthesis | 425 | $601.1K | $1.4K | 6.11x |
| 27487 | Revision of lower thigh bone and both shin bone components of total knee joint prosthesis | 407 | $528.7K | $1.3K | 6.04x |
| 27245 | Surgical treatment of broken thigh bone | 483 | $451.4K | $934.63 | 5.27x |
| 27036 | Repair of hip joint capsule | 738 | $312.5K | $423.46 | 9.97x |
| 27236 | Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement | 293 | $272.2K | $928.91 | 5.42x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 264 | $261.6K | $991.02 | 5.93x |
| 27006 | Incision of hip tendons, open procedure | 675 | $194.4K | $287.93 | 10.08x |
| 27335 | Removal of knee joint covering | 566 | $176.7K | $312.26 | 10.64x |
| 27138 | Revision of thigh bone prosthesis | 174 | $172.2K | $989.48 | 6.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $160.2K | $90.70 | 3.07x |
| 27041 | Biopsy of tissue of pelvis and hip | 505 | $146.6K | $290.23 | 9.79x |
| 12036 | Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 1.1K | $121.8K | $111.63 | 17.22x |
| 13160 | Second repair of surgical wound | 286 | $117.8K | $412.04 | 7.03x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 788 | $116.7K | $148.08 | 2.68x |
| 27365 | Removal of growth of thigh or knee bone | 72 | $113.9K | $1.6K | 4.74x |
| 27506 | Open treatment of broken thigh bone | 109 | $108.9K | $998.63 | 5.16x |
| 27422 | Repair of dislocating knee cap | 359 | $105.1K | $292.77 | 10.61x |
| 27310 | Exploration, drainage, or removal of foreign body in knee joint | 308 | $103.2K | $335.06 | 10.00x |
| 15273 | Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) | 1.3K | $102.0K | $80.33 | 13.46x |
| 27447 | Repair of knee joint | 105 | $99.1K | $943.99 | 6.35x |
This provider submits charges 7.7 times higher than what Medicare actually pays.
A markup ratio of 7.7x means for every $100 Medicare pays, this provider initially charges $770. 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