This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.52x is significantly above the specialty median of 4.7x.
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 | $2.4K | $321.35 | 7.46x | $2.1K | $304.4K | 1.8K | 1.5K |
| 2015 | $3.2K | $407.93 | 7.90x | $2.8K | $417.0K | 2.1K | 1.8K |
| 2016 | $2.8K | $377.99 | 7.53x | $2.5K | $348.2K | 1.9K | 1.6K |
| 2017 | $2.9K | $383.20 | 7.48x | $2.5K | $308.8K | 1.8K | 1.6K |
| 2018 | $3.3K | $403.00 | 8.15x | $2.9K | $409.5K | 2.1K | 1.8K |
| 2019 | $3.5K | $436.25 | 7.94x | $3.0K | $420.9K | 2.2K | 1.8K |
| 2020 | $3.0K | $370.92 | 8.16x | $2.7K | $317.6K | 1.8K | 1.5K |
| 2021 | $3.0K | $379.61 | 8.03x | $2.7K | $433.3K | 2.4K | 2.0K |
| 2022 | $3.6K | $384.37 | 9.49x | $3.3K | $529.2K | 2.9K | 2.4K |
| 2023 | $4.1K | $405.28 | 10.11x | $3.7K | $434.6K | 2.0K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 631 | $1.0M | $1.6K | 6.94x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 484 | $325.3K | $672.17 | 8.97x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 501 | $317.2K | $633.19 | 12.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $308.3K | $61.22 | 3.41x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 394 | $264.1K | $670.19 | 10.68x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 189 | $262.7K | $1.4K | 6.35x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 134 | $199.3K | $1.5K | 11.02x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 3.1K | $124.5K | $39.98 | 4.64x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $117.6K | $87.15 | 3.46x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 615 | $114.6K | $186.40 | 10.52x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 465 | $104.0K | $223.66 | 10.40x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 286 | $98.3K | $343.79 | 6.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 647 | $84.3K | $130.24 | 2.39x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 177 | $77.2K | $435.92 | 6.70x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 90 | $57.9K | $643.33 | 7.92x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 1.9K | $57.3K | $29.95 | 4.42x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 152 | $54.3K | $357.18 | 6.67x |
| 72050 | X-ray of upper spine, 4 or 5 views | 1.1K | $43.9K | $38.77 | 4.56x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 42 | $36.6K | $871.21 | 7.46x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 38 | $32.8K | $863.93 | 8.85x |
This provider submits charges 7.52 times higher than what Medicare actually pays.
A markup ratio of 7.52x means for every $100 Medicare pays, this provider initially charges $752. 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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