This provider's $5.8M 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.
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 | $250.46 | $99.43 | 2.52x | $151.03 | $497.6K | 9.7K | 7.0K |
| 2015 | $250.58 | $98.60 | 2.54x | $151.98 | $487.9K | 9.2K | 6.3K |
| 2016 | $251.63 | $93.19 | 2.70x | $158.44 | $593.5K | 10.7K | 7.1K |
| 2017 | $324.47 | $115.79 | 2.80x | $208.68 | $553.4K | 9.9K | 6.7K |
| 2018 | $794.19 | $124.59 | 6.37x | $669.60 | $618.1K | 9.9K | 6.7K |
| 2019 | $647.71 | $123.83 | 5.23x | $523.88 | $619.1K | 8.2K | 5.6K |
| 2020 | $518.10 | $112.76 | 4.59x | $405.34 | $503.9K | 7.1K | 4.8K |
| 2021 | $442.69 | $106.12 | 4.17x | $336.57 | $698.9K | 7.4K | 5.5K |
| 2022 | $552.44 | $112.89 | 4.89x | $439.55 | $675.1K | 8.0K | 5.9K |
| 2023 | $489.46 | $90.97 | 5.38x | $398.49 | $568.0K | 8.8K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 20610 | Aspiration and/or injection of large joint or joint capsule | 19.0K | $1.0M | $53.48 | 4.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.8K | $842.7K | $86.03 | 3.73x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.1K | $815.3K | $721.52 | 2.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.4K | $693.9K | $61.08 | 3.60x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 3.6K | $510.2K | $139.83 | 3.34x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.5K | $419.4K | $121.05 | 3.25x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 182 | $140.3K | $771.04 | 3.72x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $140.0K | $78.78 | 5.31x |
| 73030 | X-ray of shoulder, minimum of 2 views | 5.5K | $137.0K | $24.86 | 3.94x |
| 73560 | X-ray of knee, 1 or 2 views | 5.1K | $130.8K | $25.53 | 3.74x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 1.0K | $122.4K | $119.99 | 1.58x |
| 29880 | Removal of both knee cartilages using an endoscope | 215 | $102.1K | $474.90 | 3.92x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 140 | $97.5K | $696.47 | 3.52x |
| 73565 | X-ray of both knees, standing, front to back view | 2.9K | $82.9K | $28.34 | 2.45x |
| 23600 | Closed treatment of upper arm fracture | 190 | $52.8K | $278.08 | 3.49x |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 12.2K | $52.0K | $4.27 | 3.73x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 1.5K | $43.8K | $29.04 | 4.11x |
| 73721 | MRI scan of leg joint | 270 | $34.7K | $128.46 | 4.34x |
| 72040 | X-ray of spine of neck, 2 or 3 views | 1.2K | $33.3K | $28.29 | 3.94x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1.5K | $31.7K | $20.93 | 3.68x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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