This provider's $15.5M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 99% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.5K | $569.30 | 4.34x | $1.9K | $864.5K | 3.5K | 3.1K |
| 2015 | $2.9K | $603.14 | 4.79x | $2.3K | $1.7M | 4.4K | 3.9K |
| 2016 | $2.6K | $586.49 | 4.40x | $2.0K | $2.0M | 5.1K | 4.6K |
| 2017 | $2.6K | $602.79 | 4.37x | $2.0K | $1.9M | 4.8K | 4.2K |
| 2018 | $2.7K | $627.24 | 4.37x | $2.1K | $1.9M | 4.8K | 4.2K |
| 2019 | $2.5K | $573.75 | 4.44x | $2.0K | $1.8M | 4.5K | 4.0K |
| 2020 | $2.7K | $611.79 | 4.38x | $2.1K | $1.5M | 3.6K | 3.3K |
| 2021 | $2.5K | $583.08 | 4.26x | $1.9K | $1.5M | 3.7K | 3.4K |
| 2022 | $2.6K | $584.73 | 4.37x | $2.0K | $1.2M | 3.4K | 3.1K |
| 2023 | $2.4K | $503.08 | 4.76x | $1.9K | $999.1K | 3.1K | 2.8K |
| 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 | 512 | $2.7M | $5.2K | 2.88x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 404 | $2.1M | $5.2K | 2.90x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 492 | $1.4M | $2.9K | 3.11x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 956 | $1.1M | $1.2K | 4.81x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 689 | $962.8K | $1.4K | 4.78x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 795 | $739.3K | $929.92 | 5.54x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 575 | $733.1K | $1.3K | 4.77x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.3K | $632.6K | $479.28 | 9.31x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 1.0K | $568.1K | $559.69 | 5.56x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 943 | $555.5K | $589.09 | 6.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.6K | $464.4K | $53.98 | 2.38x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 652 | $376.5K | $577.50 | 5.94x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 1.1K | $346.6K | $301.62 | 4.65x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 1.4K | $284.0K | $198.75 | 4.72x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 372 | $207.1K | $556.83 | 7.98x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 291 | $169.5K | $582.61 | 5.68x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 541 | $167.6K | $309.85 | 5.50x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 30 | $162.4K | $5.4K | 2.73x |
| 22843 | Insertion of posterior spinal instrumentation for spinal stabilization, 7 to 12 vertebral segments | 240 | $151.4K | $630.94 | 5.06x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 254 | $148.6K | $584.96 | 8.60x |
This provider submits charges 4.57 times higher than what Medicare actually pays.
A markup ratio of 4.57x means for every $100 Medicare pays, this provider initially charges $457. 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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