This provider averages 69 services per working day
Based on 173.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $16.5M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 5.49x is significantly above the specialty median of 4.7x.
Averaging 69 services per working day raises questions about billing patterns.
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 | $2.7K | $459.40 | 5.98x | $2.3K | $1.7M | 23.8K | 9.9K |
| 2015 | $2.1K | $463.99 | 4.46x | $1.6K | $1.8M | 20.3K | 8.5K |
| 2016 | $2.4K | $421.51 | 5.59x | $1.9K | $1.5M | 19.7K | 7.9K |
| 2017 | $2.5K | $379.22 | 6.49x | $2.1K | $1.7M | 19.8K | 7.9K |
| 2018 | $2.3K | $436.01 | 5.30x | $1.9K | $1.8M | 21.1K | 8.9K |
| 2019 | $3.2K | $566.42 | 5.68x | $2.7K | $1.8M | 15.6K | 7.6K |
| 2020 | $3.4K | $588.37 | 5.74x | $2.8K | $1.5M | 14.1K | 6.5K |
| 2021 | $3.0K | $555.96 | 5.38x | $2.4K | $1.6M | 15.0K | 7.3K |
| 2022 | $3.6K | $566.84 | 6.37x | $3.0K | $1.5M | 9.3K | 6.1K |
| 2023 | $1.3K | $408.51 | 3.29x | $937.06 | $1.4M | 14.4K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 556 | $3.0M | $5.4K | 2.14x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 486 | $2.6M | $5.4K | 2.18x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 9.7K | $2.0M | $201.73 | 9.91x |
| 62311 | Injections of substances into lower or sacral spine | 5.3K | $782.5K | $147.30 | 8.72x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 19.6K | $707.5K | $36.08 | 5.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.3K | $666.4K | $126.63 | 9.48x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.6K | $598.0K | $164.71 | 7.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $596.1K | $92.18 | 6.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.0K | $595.5K | $59.49 | 5.29x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 2.7K | $445.7K | $162.14 | 7.29x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 135 | $398.5K | $3.0K | 2.71x |
| 72020 | X-ray of spine, 1 view | 20.6K | $383.1K | $18.56 | 5.39x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 49 | $277.2K | $5.7K | 2.12x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 46 | $276.5K | $6.0K | 2.00x |
| 22533 | Fusion of lower spine bones with removal of disc, lateral approach | 171 | $247.5K | $1.4K | 10.36x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 8.1K | $235.3K | $29.10 | 6.87x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $223.2K | $189.01 | 8.10x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.6K | $217.8K | $83.01 | 7.43x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 2.6K | $209.9K | $81.44 | 7.47x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 11.0K | $206.8K | $18.76 | 4.00x |
This provider submits charges 5.49 times higher than what Medicare actually pays.
A markup ratio of 5.49x means for every $100 Medicare pays, this provider initially charges $549. 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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