This provider averages 52 services per working day
Based on 129.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.6M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Averaging 52 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 | $1.4K | $415.42 | 3.42x | $1.0K | $2.0M | 19.3K | 8.8K |
| 2015 | $1.5K | $435.52 | 3.49x | $1.1K | $2.0M | 17.4K | 8.2K |
| 2016 | $2.2K | $472.17 | 4.61x | $1.7K | $1.8M | 16.9K | 7.9K |
| 2017 | $1.6K | $428.68 | 3.68x | $1.1K | $1.8M | 15.7K | 7.3K |
| 2018 | $1.8K | $423.02 | 4.37x | $1.4K | $1.7M | 14.5K | 7.0K |
| 2019 | $2.1K | $485.23 | 4.28x | $1.6K | $1.7M | 11.2K | 6.2K |
| 2020 | $3.0K | $533.52 | 5.55x | $2.4K | $1.2M | 9.0K | 5.0K |
| 2021 | $2.6K | $488.42 | 5.40x | $2.1K | $1.4M | 9.4K | 5.4K |
| 2022 | $2.8K | $523.93 | 5.28x | $2.2K | $1.0M | 6.3K | 4.6K |
| 2023 | $1.7K | $389.99 | 4.34x | $1.3K | $1.1M | 10.0K | 4.9K |
| 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 | 597 | $3.3M | $5.5K | 2.12x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 597 | $3.2M | $5.3K | 2.12x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 6.5K | $1.3M | $202.25 | 9.89x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 224 | $698.1K | $3.1K | 2.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.4K | $681.0K | $125.95 | 9.53x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 98 | $566.2K | $5.8K | 2.08x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.7K | $509.5K | $88.88 | 6.75x |
| 62311 | Injections of substances into lower or sacral spine | 3.3K | $489.0K | $148.24 | 8.66x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 81 | $487.2K | $6.0K | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.2K | $483.4K | $58.94 | 5.09x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 12.3K | $441.3K | $35.80 | 5.59x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.5K | $408.4K | $163.08 | 7.13x |
| 72020 | X-ray of spine, 1 view | 14.7K | $272.8K | $18.50 | 5.41x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 8.3K | $238.1K | $28.69 | 6.97x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 1.4K | $196.8K | $140.96 | 6.03x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $192.2K | $83.67 | 7.13x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 9.4K | $175.9K | $18.79 | 3.99x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $173.3K | $168.21 | 6.90x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 191 | $144.5K | $756.32 | 16.43x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 6.2K | $137.1K | $22.11 | 3.39x |
This provider submits charges 4.73 times higher than what Medicare actually pays.
A markup ratio of 4.73x means for every $100 Medicare pays, this provider initially charges $473. 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.
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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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