This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 6.41x is significantly above the specialty median of 4.7x.
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 | $186.62 | 8.89x | $1.5K | $671.1K | 8.3K | 5.0K |
| 2015 | $1.7K | $190.66 | 9.08x | $1.5K | $734.7K | 8.9K | 5.5K |
| 2016 | $2.0K | $265.79 | 7.38x | $1.7K | $680.5K | 7.5K | 4.5K |
| 2017 | $1.2K | $181.14 | 6.78x | $1.0K | $578.6K | 6.6K | 4.1K |
| 2018 | $1.7K | $249.20 | 6.84x | $1.5K | $660.5K | 6.5K | 4.2K |
| 2019 | $1.8K | $316.36 | 5.67x | $1.5K | $926.1K | 7.8K | 4.8K |
| 2020 | $1.2K | $230.95 | 5.36x | $1.0K | $769.9K | 6.3K | 4.3K |
| 2021 | $1.2K | $213.67 | 5.39x | $938.42 | $1.0M | 6.7K | 5.3K |
| 2022 | $1.5K | $275.46 | 5.48x | $1.2K | $1.1M | 7.1K | 5.5K |
| 2023 | $1.2K | $203.70 | 6.06x | $1.0K | $892.9K | 6.8K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 2.1K | $2.2M | $1.1K | 6.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $1.0M | $82.11 | 7.12x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 907 | $974.4K | $1.1K | 7.28x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 15.0K | $828.8K | $55.40 | 8.41x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 5.9K | $765.2K | $129.66 | 4.42x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 1.3K | $756.1K | $594.38 | 2.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.4K | $465.2K | $55.59 | 7.17x |
| 73562 | X-ray of knee, 3 views | 7.4K | $142.5K | $19.30 | 7.55x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 1.0K | $129.2K | $129.06 | 7.13x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $110.8K | $73.22 | 7.53x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 158 | $108.4K | $685.85 | 1.26x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 636 | $74.1K | $116.56 | 7.33x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 2.8K | $73.0K | $26.56 | 5.84x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.0K | $61.8K | $31.35 | 7.12x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 461 | $51.1K | $110.84 | 5.23x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 299 | $45.3K | $151.55 | 7.45x |
| 27486 | Revision of one component of total knee joint prosthesis | 36 | $40.5K | $1.1K | 6.50x |
| 72148 | MRI scan of lower spinal canal | 182 | $29.2K | $160.62 | 5.74x |
| 73565 | X-ray of both knees, standing, front to back view | 739 | $21.1K | $28.62 | 4.31x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 3.1K | $18.6K | $5.91 | 5.34x |
This provider submits charges 6.41 times higher than what Medicare actually pays.
A markup ratio of 6.41x means for every $100 Medicare pays, this provider initially charges $641. 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