This provider's $3.2M in total Medicare payments ranks in the 98th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 99% 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 | $1.7K | $220.71 | 7.70x | $1.5K | $199.5K | 2.8K | 1.9K |
| 2015 | $1.5K | $187.80 | 7.98x | $1.3K | $225.2K | 3.3K | 2.1K |
| 2016 | $640.29 | $130.81 | 4.89x | $509.48 | $263.0K | 3.6K | 2.4K |
| 2017 | $1.9K | $190.56 | 9.73x | $1.7K | $291.3K | 3.8K | 2.5K |
| 2018 | $2.1K | $215.83 | 9.78x | $1.9K | $330.6K | 4.0K | 2.6K |
| 2019 | $2.3K | $233.85 | 9.94x | $2.1K | $380.1K | 3.9K | 2.6K |
| 2020 | $2.3K | $250.55 | 9.38x | $2.1K | $326.5K | 3.5K | 2.3K |
| 2021 | $2.5K | $262.22 | 9.52x | $2.2K | $434.6K | 3.7K | 2.3K |
| 2022 | $2.3K | $254.33 | 9.24x | $2.1K | $394.7K | 4.0K | 2.6K |
| 2023 | $2.5K | $214.14 | 11.66x | $2.3K | $396.2K | 4.4K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 621 | $751.1K | $1.2K | 8.84x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.1K | $696.8K | $648.18 | 2.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.9K | $588.7K | $66.44 | 1.94x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 5.4K | $294.8K | $54.51 | 4.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $292.3K | $89.24 | 2.02x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 145 | $173.1K | $1.2K | 16.45x |
| 73562 | X-ray of knee, 3 views | 5.0K | $171.3K | $34.06 | 4.48x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.6K | $139.3K | $85.22 | 2.31x |
| 73521 | X-ray of both hips with pelvis, 2 views | 984 | $33.4K | $33.93 | 5.67x |
| 73030 | X-ray of shoulder, minimum of 2 views | 787 | $22.4K | $28.44 | 5.87x |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 2.8K | $14.6K | $5.26 | 2.22x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 21 | $12.6K | $601.26 | 3.91x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 294 | $9.6K | $32.50 | 4.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 177 | $8.6K | $48.41 | 2.12x |
| 73520 | X-ray of both hips minimum 2 views | 206 | $7.4K | $35.97 | 5.06x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 166 | $6.7K | $40.46 | 4.96x |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 3.9K | $4.6K | $1.19 | 6.70x |
| J1020 | Injection, methylprednisolone acetate, 20 mg | 1.1K | $3.1K | $2.87 | 2.44x |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 300 | $2.9K | $9.82 | 1.74x |
| 73610 | X-ray of ankle, minimum of 3 views | 75 | $2.2K | $29.71 | 4.52x |
This provider submits charges 4.82 times higher than what Medicare actually pays.
A markup ratio of 4.82x means for every $100 Medicare pays, this provider initially charges $482. 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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