This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 83% 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 | $908.50 | $303.84 | 2.99x | $604.66 | $283.0K | 2.2K | 1.6K |
| 2015 | $861.01 | $372.42 | 2.31x | $488.59 | $293.5K | 2.2K | 1.6K |
| 2016 | $609.67 | $240.08 | 2.54x | $369.59 | $309.9K | 2.2K | 1.7K |
| 2017 | $786.90 | $372.03 | 2.12x | $414.87 | $334.7K | 2.3K | 1.8K |
| 2018 | $668.15 | $282.38 | 2.37x | $385.77 | $377.4K | 2.7K | 2.0K |
| 2019 | $601.29 | $266.55 | 2.26x | $334.74 | $444.4K | 2.9K | 2.1K |
| 2020 | $767.89 | $266.51 | 2.88x | $501.38 | $381.2K | 2.6K | 1.9K |
| 2021 | $1.4K | $256.36 | 5.61x | $1.2K | $455.9K | 2.8K | 2.1K |
| 2022 | $1.5K | $238.56 | 6.20x | $1.2K | $494.7K | 2.9K | 2.3K |
| 2023 | $1.8K | $370.95 | 4.99x | $1.5K | $518.9K | 2.8K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 23472 | Prosthetic repair of shoulder joint | 1.1K | $1.3M | $1.3K | 2.42x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 593 | $551.4K | $929.81 | 2.97x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.6K | $502.0K | $66.45 | 2.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $418.0K | $137.69 | 2.59x |
| 23430 | Anchoring of biceps tendon | 666 | $228.2K | $342.66 | 5.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $197.4K | $105.46 | 3.22x |
| 73030 | X-ray of shoulder, minimum of 2 views | 5.9K | $177.6K | $30.07 | 2.86x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 556 | $108.3K | $194.85 | 8.52x |
| 29826 | Shaving of shoulder bone using an endoscope | 587 | $87.1K | $148.39 | 5.84x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.4K | $75.1K | $54.80 | 2.91x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 170 | $69.4K | $408.26 | 6.05x |
| 23474 | Revision of total shoulder repair | 43 | $63.2K | $1.5K | 2.28x |
| 23105 | Removal of shoulder joint lining | 85 | $23.2K | $273.48 | 3.83x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 209 | $21.0K | $100.60 | 3.63x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 125 | $12.1K | $96.68 | 9.12x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 202 | $8.5K | $42.21 | 3.25x |
| 29825 | Release or removal of shoulder scar tissue using an endoscope | 29 | $2.9K | $101.07 | 15.74x |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1.4K | $1.7K | $1.21 | 5.93x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 38 | $1.0K | $26.79 | 4.48x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 48 | $882.47 | $18.38 | 6.67x |
This provider submits charges 3.19 times higher than what Medicare actually pays.
A markup ratio of 3.19x means for every $100 Medicare pays, this provider initially charges $319. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data