This provider's $18.0M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 8.77x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 95% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2016
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 | $3.6K | $312.61 | 11.45x | $3.3K | $1.1M | 6.2K | 4.8K |
| 2015 | $3.5K | $316.48 | 11.00x | $3.2K | $1.1M | 6.9K | 5.3K |
| 2016 | $5.2K | $592.48 | 8.78x | $4.6K | $1.8M | 8.0K | 6.5K |
| 2017 | $5.3K | $571.53 | 9.27x | $4.7K | $1.7M | 8.1K | 6.5K |
| 2018 | $4.5K | $619.35 | 7.20x | $3.8K | $2.0M | 8.3K | 6.6K |
| 2019 | $4.1K | $625.27 | 6.55x | $3.5K | $1.9M | 7.6K | 5.9K |
| 2020 | $4.1K | $643.32 | 6.35x | $3.4K | $2.0M | 7.3K | 5.4K |
| 2021 | $4.7K | $628.92 | 7.55x | $4.1K | $2.2M | 8.3K | 6.1K |
| 2022 | $4.6K | $593.40 | 7.76x | $4.0K | $2.1M | 7.6K | 6.1K |
| 2023 | $4.4K | $572.97 | 7.73x | $3.9K | $2.1M | 8.3K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 329 | $2.0M | $6.1K | 5.09x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 308 | $1.9M | $6.2K | 5.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.5K | $1.6M | $93.33 | 2.44x |
| 63056 | Release of lower spinal cord and/or nerves | 1.2K | $914.4K | $733.29 | 9.70x |
| 72148 | MRI scan of lower spinal canal | 6.2K | $797.9K | $127.88 | 20.07x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 770 | $794.4K | $1.0K | 6.59x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 224 | $776.6K | $3.5K | 5.77x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.3K | $637.8K | $474.59 | 14.02x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 466 | $586.1K | $1.3K | 7.60x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 848 | $581.0K | $685.18 | 10.13x |
| 63090 | Removal of middle, lower, or sacral spine bone with release of spinal cord or nerves, transperitoneal or retroperitoneal approach | 357 | $568.3K | $1.6K | 4.84x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.9K | $518.7K | $131.53 | 2.65x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 765 | $481.7K | $629.68 | 8.05x |
| 64714 | Release of nerve of upper leg, open procedure | 997 | $419.7K | $421.00 | 8.34x |
| 63081 | Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach | 229 | $334.4K | $1.5K | 6.39x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.3K | $288.6K | $230.85 | 15.37x |
| 72141 | MRI scan of upper spinal canal | 2.1K | $268.9K | $127.21 | 19.94x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 8.4K | $263.5K | $31.51 | 3.49x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 812 | $262.1K | $322.82 | 12.77x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 1.4K | $239.1K | $174.52 | 22.01x |
This provider submits charges 8.77 times higher than what Medicare actually pays.
A markup ratio of 8.77x means for every $100 Medicare pays, this provider initially charges $877. 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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