This provider's $3.2M in total Medicare payments ranks in the 98th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.47x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 232% from 2014 to 2023.
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 | $2.3K | $314.24 | 7.37x | $2.0K | $158.7K | 850 | 732 |
| 2015 | $3.1K | $412.82 | 7.47x | $2.7K | $227.3K | 1.3K | 994 |
| 2016 | $3.4K | $417.01 | 8.06x | $2.9K | $254.0K | 1.3K | 1.0K |
| 2017 | $4.0K | $452.85 | 8.85x | $3.6K | $302.6K | 1.5K | 1.1K |
| 2018 | $3.3K | $396.33 | 8.34x | $2.9K | $268.3K | 1.5K | 1.1K |
| 2019 | $2.6K | $362.18 | 7.31x | $2.3K | $303.5K | 1.5K | 1.1K |
| 2020 | $2.6K | $356.94 | 7.18x | $2.2K | $357.7K | 1.5K | 1.3K |
| 2021 | $2.3K | $324.05 | 7.13x | $2.0K | $390.3K | 1.6K | 1.4K |
| 2022 | $2.9K | $333.56 | 8.68x | $2.6K | $450.4K | 1.8K | 1.6K |
| 2023 | $2.8K | $364.79 | 7.67x | $2.4K | $526.5K | 2.1K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 642 | $803.6K | $1.3K | 6.54x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 558 | $276.8K | $496.06 | 11.64x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 213 | $269.4K | $1.3K | 7.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $260.6K | $86.10 | 6.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $168.3K | $53.39 | 6.83x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 253 | $155.8K | $615.73 | 6.37x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 220 | $135.1K | $614.16 | 7.07x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 412 | $131.1K | $318.22 | 6.37x |
| 63267 | Removal of lower spine bone and growth | 179 | $117.9K | $658.66 | 10.98x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 740 | $102.9K | $139.08 | 6.62x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 170 | $99.7K | $586.72 | 6.50x |
| 72148 | MRI scan of lower spinal canal | 403 | $66.0K | $163.67 | 5.85x |
| 22808 | Fusion of spine bones for correction of deformity, anterior approach, 2 to 3 vertebral segments | 44 | $65.1K | $1.5K | 6.72x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 331 | $56.7K | $171.16 | 6.43x |
| 61783 | Computer-assisted spinal procedure | 293 | $54.8K | $186.90 | 6.33x |
| 63655 | Implantation of spinal neurostimulator electrodes | 70 | $47.7K | $681.43 | 6.34x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 547 | $43.4K | $79.29 | 6.42x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 1.0K | $36.8K | $36.04 | 5.60x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 111 | $35.3K | $318.16 | 6.71x |
| 22830 | Exploration of spinal fusion | 89 | $31.8K | $357.22 | 11.92x |
This provider submits charges 7.47 times higher than what Medicare actually pays.
A markup ratio of 7.47x means for every $100 Medicare pays, this provider initially charges $747. 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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