This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 54% 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 | $63.48 | $42.16 | 1.51x | $21.32 | $311.9K | 5.4K | 1.4K |
| 2015 | $67.80 | $46.41 | 1.46x | $21.39 | $345.0K | 5.7K | 1.6K |
| 2016 | $66.93 | $45.24 | 1.48x | $21.69 | $386.4K | 6.4K | 1.6K |
| 2017 | $69.86 | $44.33 | 1.58x | $25.53 | $464.7K | 8.0K | 1.7K |
| 2018 | $80.41 | $46.43 | 1.73x | $33.98 | $414.4K | 7.0K | 1.7K |
| 2019 | $69.86 | $42.32 | 1.65x | $27.54 | $480.9K | 7.7K | 1.6K |
| 2020 | $100.17 | $38.84 | 2.58x | $61.33 | $413.7K | 6.5K | 1.5K |
| 2021 | $163.73 | $48.93 | 3.35x | $114.80 | $512.2K | 7.3K | 1.5K |
| 2022 | $176.90 | $45.21 | 3.91x | $131.69 | $438.1K | 6.7K | 1.3K |
| 2023 | $252.55 | $60.06 | 4.20x | $192.49 | $480.8K | 7.5K | 1.5K |
| 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 | 13.8K | $1.1M | $80.32 | 1.40x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.6K | $820.9K | $96.00 | 2.52x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 12.0K | $772.1K | $64.53 | 2.67x |
| 76882 | Ultrasound of arm or leg | 14.8K | $613.4K | $41.51 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.1K | $512.6K | $63.22 | 2.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 802 | $107.8K | $134.40 | 1.90x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 964 | $62.2K | $64.49 | 1.28x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.2K | $60.2K | $50.74 | 1.33x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 668 | $60.2K | $90.16 | 2.36x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 312 | $36.3K | $116.49 | 1.48x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.3K | $22.1K | $16.81 | 2.43x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 403 | $14.6K | $36.33 | 1.48x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 30 | $10.6K | $351.99 | 3.62x |
| J7332 | Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg | 539 | $8.1K | $15.02 | 2.64x |
| 99348 | Established patient home visit, typically 25 minutes | 71 | $5.1K | $72.02 | 1.39x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 120 | $4.2K | $35.06 | 2.14x |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 288 | $4.1K | $14.07 | 3.97x |
| Q4177 | Floweramnioflo, 0.1 cc | 22 | $3.5K | $157.61 | 1.25x |
| 64640 | Destruction of peripheral nerve or branch | 30 | $3.4K | $114.11 | 6.97x |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 593 | $2.4K | $4.10 | 3.98x |
This provider submits charges 2.05 times higher than what Medicare actually pays.
A markup ratio of 2.05x means for every $100 Medicare pays, this provider initially charges $205. 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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