This provider's $3.2M in total Medicare payments ranks in the 98th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 161% 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 | $355.29 | $85.02 | 4.18x | $270.27 | $150.4K | 2.4K | 1.5K |
| 2015 | $698.34 | $143.89 | 4.85x | $554.45 | $198.7K | 2.9K | 1.8K |
| 2016 | $614.70 | $128.38 | 4.79x | $486.32 | $243.7K | 3.5K | 2.1K |
| 2017 | $951.38 | $159.10 | 5.98x | $792.28 | $262.9K | 3.8K | 2.3K |
| 2018 | $1.3K | $190.91 | 6.86x | $1.1K | $335.7K | 4.6K | 2.9K |
| 2019 | $1.4K | $196.24 | 7.34x | $1.2K | $367.3K | 4.9K | 2.8K |
| 2020 | $1.0K | $171.11 | 6.03x | $860.55 | $356.3K | 4.7K | 2.6K |
| 2021 | $1.2K | $177.90 | 6.78x | $1.0K | $447.6K | 5.4K | 3.1K |
| 2022 | $1.1K | $171.58 | 6.68x | $974.96 | $466.1K | 5.6K | 3.2K |
| 2023 | $800.75 | $120.46 | 6.65x | $680.29 | $391.8K | 5.1K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 8.9K | $777.1K | $87.27 | 5.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.6K | $620.4K | $64.61 | 1.57x |
| 27447 | Repair of knee joint | 364 | $399.9K | $1.1K | 6.26x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $272.2K | $91.49 | 1.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $243.4K | $126.29 | 1.62x |
| 27446 | Repair of knee joint | 185 | $180.1K | $973.53 | 5.03x |
| 27640 | Partial removal of shin bone | 407 | $146.1K | $359.05 | 10.23x |
| 73564 | X-ray of knee, 4 or more views | 2.3K | $85.1K | $37.60 | 3.46x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 59 | $52.0K | $881.65 | 5.30x |
| 27391 | Repair of multiple hamstring tendons, open procedure | 206 | $50.8K | $246.84 | 9.40x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 800 | $41.0K | $51.27 | 5.85x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 494 | $34.2K | $69.25 | 2.32x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 993 | $33.7K | $33.99 | 3.60x |
| 73030 | X-ray of shoulder, minimum of 2 views | 1.2K | $33.5K | $27.19 | 4.41x |
| 27350 | Removal of knee cap | 108 | $30.9K | $286.28 | 9.07x |
| 73562 | X-ray of knee, 3 views | 911 | $29.9K | $32.87 | 2.59x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 2.7K | $28.1K | $10.27 | 1.67x |
| 27360 | Partial removal of bone of thigh and/or lower leg bones | 58 | $21.3K | $366.40 | 9.38x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 111 | $18.6K | $167.52 | 1.79x |
| 73560 | X-ray of knee, 1 or 2 views | 664 | $18.4K | $27.68 | 3.43x |
This provider submits charges 4.38 times higher than what Medicare actually pays.
A markup ratio of 4.38x means for every $100 Medicare pays, this provider initially charges $438. 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