This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 141% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 94% in 2017
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 | $2.8K | $419.49 | 6.75x | $2.4K | $190.2K | 745 | 639 |
| 2015 | $2.7K | $542.88 | 5.07x | $2.2K | $267.4K | 852 | 716 |
| 2016 | $2.4K | $386.00 | 6.34x | $2.1K | $209.9K | 873 | 739 |
| 2017 | $1.4K | $353.75 | 3.86x | $1.0K | $407.4K | 1.9K | 1.5K |
| 2018 | $1.8K | $438.50 | 4.05x | $1.3K | $650.6K | 2.9K | 2.1K |
| 2019 | $1.5K | $421.61 | 3.67x | $1.1K | $608.7K | 2.9K | 2.3K |
| 2020 | $1.6K | $444.22 | 3.55x | $1.1K | $479.4K | 2.3K | 1.7K |
| 2021 | $1.6K | $455.62 | 3.43x | $1.1K | $579.3K | 2.6K | 2.0K |
| 2022 | $1.5K | $424.85 | 3.59x | $1.1K | $554.5K | 2.6K | 2.1K |
| 2023 | $1.4K | $406.90 | 3.52x | $1.0K | $457.6K | 2.6K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 663 | $910.9K | $1.4K | 4.54x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 617 | $518.4K | $840.25 | 5.14x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 406 | $316.0K | $778.29 | 4.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $287.6K | $98.90 | 1.89x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 380 | $251.7K | $662.36 | 2.76x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 356 | $247.0K | $693.81 | 3.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $220.4K | $67.82 | 2.21x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 140 | $205.8K | $1.5K | 2.86x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 532 | $177.3K | $333.20 | 3.80x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $159.2K | $140.49 | 2.13x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 4.5K | $153.7K | $34.28 | 3.14x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 643 | $150.7K | $234.34 | 2.70x |
| 22224 | Incision of spine bone with removal of disc material at lower spinal column | 96 | $126.3K | $1.3K | 2.84x |
| 22585 | Fusion of spine bones with removal of disc, anterior approach | 385 | $110.8K | $287.81 | 3.40x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 131 | $91.5K | $698.50 | 4.25x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 139 | $50.5K | $363.12 | 5.69x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 510 | $46.5K | $91.21 | 2.33x |
| 72040 | X-ray of spine of neck, 2 or 3 views | 1.4K | $46.2K | $33.81 | 3.05x |
| 22830 | Exploration of spinal fusion | 118 | $45.5K | $385.17 | 4.88x |
| 22849 | Reinsertion of spinal fixation device | 69 | $42.2K | $611.48 | 5.10x |
This provider submits charges 3.79 times higher than what Medicare actually pays.
A markup ratio of 3.79x means for every $100 Medicare pays, this provider initially charges $379. 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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