This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 6.29x 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 | $1.5K | $187.40 | 7.99x | $1.3K | $632.0K | 6.1K | 3.3K |
| 2015 | $1.4K | $220.65 | 6.47x | $1.2K | $690.1K | 6.9K | 3.8K |
| 2016 | $1.5K | $220.35 | 6.93x | $1.3K | $702.1K | 7.4K | 4.1K |
| 2017 | $1.5K | $222.19 | 6.69x | $1.3K | $762.9K | 8.2K | 4.4K |
| 2018 | $1.2K | $233.80 | 5.32x | $1.0K | $804.1K | 8.6K | 4.8K |
| 2019 | $2.0K | $247.53 | 8.22x | $1.8K | $1.1M | 9.3K | 5.2K |
| 2020 | $2.0K | $233.62 | 8.58x | $1.8K | $849.5K | 8.5K | 4.8K |
| 2021 | $1.7K | $207.05 | 8.25x | $1.5K | $869.0K | 8.6K | 4.8K |
| 2022 | $1.9K | $215.00 | 8.99x | $1.7K | $750.3K | 10.1K | 5.1K |
| 2023 | $1.9K | $208.09 | 8.96x | $1.7K | $727.8K | 10.5K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 14.2K | $1.9M | $132.12 | 4.81x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 25.3K | $1.4M | $54.96 | 4.62x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $892.9K | $859.36 | 6.29x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.7K | $858.1K | $62.73 | 3.37x |
| 29876 | Removal of joint lining from two or more knee joint compartments using an endoscope | 1.5K | $792.4K | $527.22 | 6.41x |
| 29826 | Shaving of shoulder bone using an endoscope | 1.9K | $259.7K | $139.85 | 22.73x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 938 | $229.3K | $244.41 | 13.50x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.6K | $219.4K | $33.41 | 2.83x |
| 29880 | Removal of both knee cartilages using an endoscope | 743 | $212.8K | $286.38 | 9.25x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 374 | $199.5K | $533.46 | 5.89x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 294 | $197.7K | $672.53 | 3.10x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $169.5K | $126.28 | 3.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $158.0K | $80.30 | 3.44x |
| 29881 | Removal of one knee cartilage using an endoscope | 1.1K | $116.9K | $109.16 | 23.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.0K | $92.2K | $88.53 | 3.30x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 832 | $75.9K | $91.21 | 28.66x |
| 29825 | Release or removal of shoulder scar tissue using an endoscope | 198 | $57.9K | $292.58 | 8.13x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 4.0K | $35.6K | $8.89 | 3.38x |
| J7331 | Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | 1.6K | $30.9K | $18.98 | 2.78x |
| J0702 | Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | 5.1K | $25.2K | $4.93 | 5.08x |
This provider submits charges 6.29 times higher than what Medicare actually pays.
A markup ratio of 6.29x means for every $100 Medicare pays, this provider initially charges $629. 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