This provider averages 92 services per working day
Based on 230.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Averaging 92 services per working day raises questions about billing patterns.
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 | $442.24 | $278.91 | 1.59x | $163.33 | $1.7M | 22.7K | 15.7K |
| 2015 | $326.79 | $210.57 | 1.55x | $116.22 | $1.8M | 24.6K | 16.7K |
| 2016 | $311.42 | $185.68 | 1.68x | $125.74 | $1.8M | 25.1K | 17.3K |
| 2017 | $361.02 | $215.32 | 1.68x | $145.70 | $1.8M | 26.2K | 17.7K |
| 2018 | $340.79 | $210.95 | 1.62x | $129.84 | $1.7M | 26.1K | 17.2K |
| 2019 | $312.38 | $186.97 | 1.67x | $125.41 | $1.6M | 20.7K | 13.5K |
| 2020 | $402.54 | $260.59 | 1.54x | $141.95 | $1.7M | 19.7K | 12.2K |
| 2021 | $410.24 | $274.11 | 1.50x | $136.13 | $1.9M | 22.4K | 13.0K |
| 2022 | $367.37 | $244.06 | 1.51x | $123.31 | $1.8M | 22.2K | 12.9K |
| 2023 | $391.36 | $241.30 | 1.62x | $150.06 | $1.6M | 20.5K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 2.8K | $3.3M | $1.2K | 1.41x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 24.3K | $1.9M | $78.19 | 1.56x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 1.6K | $1.9M | $1.2K | 1.33x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 30.9K | $1.8M | $57.24 | 1.54x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.2K | $1.0M | $846.94 | 1.44x |
| 76881 | Ultrasound of leg or arm | 11.2K | $963.6K | $85.79 | 1.46x |
| 27394 | Lengthening of multiple hamstring tendons in one leg | 2.6K | $730.8K | $280.64 | 2.65x |
| 73562 | X-ray of knee, 3 views | 17.4K | $592.7K | $34.03 | 1.44x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 7.7K | $562.6K | $73.37 | 1.69x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 21.9K | $477.1K | $21.75 | 1.67x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 8.5K | $428.5K | $50.16 | 1.79x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 17.9K | $314.7K | $17.54 | 1.75x |
| 27001 | Incision of hip tendon, open procedure | 1.1K | $269.4K | $236.29 | 2.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $263.5K | $113.11 | 1.65x |
| 27487 | Revision of lower thigh bone and both shin bone components of total knee joint prosthesis | 157 | $237.4K | $1.5K | 1.32x |
| 77002 | Fluoroscopic guidance for insertion of needle | 2.7K | $228.1K | $84.26 | 1.31x |
| 97161 | Evaluation of physical therapy, typically 20 minutes | 3.2K | $223.2K | $68.73 | 1.46x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $211.3K | $83.33 | 1.61x |
| 23472 | Prosthetic repair of shoulder joint | 155 | $197.2K | $1.3K | 1.30x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 3.6K | $156.2K | $43.28 | 1.34x |
This provider submits charges 1.59 times higher than what Medicare actually pays.
A markup ratio of 1.59x means for every $100 Medicare pays, this provider initially charges $159. This is lower 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.
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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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