This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.1K | $371.21 | 5.55x | $1.7K | $318.8K | 1.8K | 1.4K |
| 2015 | $1.4K | $372.95 | 3.86x | $1.1K | $390.1K | 2.1K | 1.6K |
| 2016 | $1.4K | $362.72 | 3.82x | $1.0K | $471.9K | 2.5K | 2.0K |
| 2017 | $1.4K | $353.91 | 3.87x | $1.0K | $402.3K | 2.4K | 1.9K |
| 2018 | $1.4K | $356.75 | 3.80x | $999.39 | $467.5K | 2.5K | 2.0K |
| 2019 | $1.5K | $392.55 | 3.73x | $1.1K | $361.2K | 2.3K | 1.7K |
| 2020 | $1.3K | $343.36 | 3.84x | $974.16 | $280.7K | 1.9K | 1.4K |
| 2021 | $1.3K | $346.17 | 3.87x | $991.90 | $335.2K | 2.1K | 1.6K |
| 2022 | $1.5K | $383.70 | 3.87x | $1.1K | $321.3K | 1.9K | 1.5K |
| 2023 | $1.1K | $263.14 | 4.26x | $857.05 | $351.5K | 2.0K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 485 | $714.3K | $1.5K | 3.59x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 409 | $507.4K | $1.2K | 3.76x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 538 | $328.3K | $610.31 | 3.86x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 707 | $323.8K | $457.98 | 6.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $294.9K | $54.40 | 2.78x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 359 | $218.6K | $608.87 | 3.82x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $202.1K | $85.06 | 7.57x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 114 | $149.5K | $1.3K | 3.52x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 428 | $134.2K | $313.65 | 3.81x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 4.8K | $122.1K | $25.34 | 3.34x |
| 72148 | MRI scan of lower spinal canal | 1.2K | $119.7K | $99.13 | 7.72x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $89.1K | $75.45 | 2.98x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 96 | $73.1K | $761.68 | 3.56x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 319 | $66.3K | $207.90 | 2.42x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 115 | $65.4K | $568.73 | 4.01x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 333 | $56.4K | $169.38 | 3.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 657 | $54.0K | $82.14 | 2.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 401 | $49.0K | $122.13 | 2.55x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 144 | $47.0K | $326.69 | 3.97x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 71 | $22.4K | $314.98 | 3.86x |
This provider submits charges 4.19 times higher than what Medicare actually pays.
A markup ratio of 4.19x means for every $100 Medicare pays, this provider initially charges $419. 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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