This provider averages 56 services per working day
Based on 126.8K total services over 9 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Sports Medicine providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 972% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 913% 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 | $187.78 | $46.87 | 4.01x | $140.91 | $24.4K | 422 | 282 |
| 2016 | $121.48 | $51.82 | 2.34x | $69.66 | $187.5K | 3.8K | 2.1K |
| 2017 | $135.43 | $50.30 | 2.69x | $85.13 | $1.9M | 27.5K | 11.8K |
| 2018 | $149.39 | $55.73 | 2.68x | $93.66 | $1.9M | 28.4K | 10.4K |
| 2019 | $140.73 | $58.43 | 2.41x | $82.30 | $1.3M | 21.6K | 5.9K |
| 2020 | $95.71 | $45.50 | 2.10x | $50.21 | $751.9K | 14.1K | 4.5K |
| 2021 | $109.17 | $53.80 | 2.03x | $55.37 | $840.0K | 14.9K | 4.7K |
| 2022 | $100.72 | $48.95 | 2.06x | $51.77 | $636.9K | 11.4K | 3.5K |
| 2023 | $103.66 | $48.11 | 2.15x | $55.55 | $261.1K | 4.8K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 25.8K | $2.0M | $77.76 | 2.20x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 25.9K | $1.1M | $42.11 | 2.31x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 16.5K | $1.1M | $65.30 | 2.22x |
| 27370 | Injection of contract for X-ray imaging of knee | 6.0K | $914.8K | $152.19 | 2.27x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 6.2K | $534.4K | $86.14 | 2.55x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 2.6K | $444.7K | $173.09 | 2.24x |
| 76881 | Ultrasound of leg or arm | 6.9K | $444.0K | $64.04 | 2.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $237.6K | $54.48 | 2.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $232.7K | $91.87 | 2.00x |
| 73560 | X-ray of knee, 1 or 2 views | 5.1K | $120.1K | $23.53 | 2.16x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $103.5K | $75.31 | 2.45x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.6K | $95.5K | $57.87 | 2.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 762 | $93.8K | $123.16 | 2.04x |
| 76882 | Ultrasound of arm or leg | 1.7K | $65.7K | $38.76 | 2.05x |
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 2.6K | $56.4K | $21.92 | 1.90x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 1.1K | $41.1K | $37.73 | 3.80x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 667 | $30.8K | $46.24 | 2.61x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 229 | $29.2K | $127.65 | 2.04x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 2.2K | $28.9K | $13.34 | 1.91x |
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 1.5K | $23.7K | $16.00 | 1.94x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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