This provider averages 57 services per working day
Based on 142.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 5.26x is significantly above the specialty median of 4.7x.
Averaging 57 services per working day raises questions about billing patterns.
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 | $1.7K | $256.25 | 6.77x | $1.5K | $770.0K | 9.6K | 4.8K |
| 2015 | $1.6K | $225.55 | 7.04x | $1.4K | $1.0M | 14.8K | 8.3K |
| 2016 | $1.7K | $236.96 | 6.99x | $1.4K | $976.1K | 15.9K | 7.7K |
| 2017 | $1.7K | $255.67 | 6.74x | $1.5K | $871.2K | 12.9K | 4.6K |
| 2018 | $1.7K | $256.81 | 6.61x | $1.4K | $840.6K | 12.4K | 4.3K |
| 2019 | $1.5K | $230.09 | 6.62x | $1.3K | $915.3K | 14.4K | 4.4K |
| 2020 | $1.7K | $263.30 | 6.43x | $1.4K | $880.2K | 13.3K | 4.3K |
| 2021 | $1.6K | $242.95 | 6.47x | $1.3K | $934.3K | 14.7K | 4.8K |
| 2022 | $889.90 | $225.47 | 3.95x | $664.43 | $1.1M | 17.4K | 6.5K |
| 2023 | $818.92 | $261.87 | 3.13x | $557.05 | $1.1M | 17.2K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.0K | $1.4M | $87.90 | 2.08x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 40.3K | $869.3K | $21.59 | 3.24x |
| 27447 | Repair of knee joint | 727 | $862.3K | $1.2K | 3.94x |
| 23472 | Prosthetic repair of shoulder joint | 602 | $775.6K | $1.3K | 3.61x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 752 | $702.3K | $933.97 | 5.04x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 38.6K | $682.6K | $17.69 | 3.58x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 1.5K | $521.1K | $358.62 | 9.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.5K | $413.0K | $117.12 | 2.25x |
| 29879 | Repair of knee joint using an endoscope | 552 | $316.7K | $573.64 | 6.00x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 3.3K | $251.8K | $77.25 | 4.27x |
| 29826 | Shaving of shoulder bone using an endoscope | 1.5K | $237.6K | $157.13 | 18.80x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 179 | $213.1K | $1.2K | 3.73x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 1.5K | $188.7K | $125.32 | 28.40x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 3.4K | $165.8K | $48.35 | 2.98x |
| 23020 | Severing of shoulder tendon to repair contracture | 536 | $163.2K | $304.49 | 6.86x |
| 73030 | X-ray of shoulder, minimum of 2 views | 6.4K | $159.3K | $24.91 | 3.43x |
| 24301 | Relocation of muscle or tendon of upper arm or elbow | 479 | $158.7K | $331.38 | 7.53x |
| 23440 | Transplantation of biceps tendon | 454 | $153.0K | $336.90 | 11.09x |
| 29876 | Removal of joint lining from two or more knee joint compartments using an endoscope | 541 | $134.4K | $248.51 | 14.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $120.5K | $56.53 | 1.94x |
This provider submits charges 5.26 times higher than what Medicare actually pays.
A markup ratio of 5.26x means for every $100 Medicare pays, this provider initially charges $526. 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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