This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.12x 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 | $1.1K | $457.57 | 2.49x | $682.21 | $725.2K | 3.5K | 3.0K |
| 2015 | $3.2K | $474.57 | 6.84x | $2.8K | $966.5K | 4.7K | 3.8K |
| 2016 | $3.6K | $433.65 | 8.22x | $3.1K | $1.1M | 6.3K | 4.8K |
| 2017 | $3.6K | $428.78 | 8.32x | $3.1K | $958.5K | 6.1K | 4.7K |
| 2018 | $3.0K | $400.56 | 7.60x | $2.6K | $1.2M | 7.5K | 5.6K |
| 2019 | $3.4K | $412.53 | 8.22x | $3.0K | $964.8K | 5.8K | 4.6K |
| 2020 | $4.1K | $473.25 | 8.75x | $3.7K | $746.4K | 2.3K | 2.0K |
| 2021 | $8.0K | $506.74 | 15.74x | $7.5K | $732.4K | 2.1K | 1.8K |
| 2022 | $2.9K | $480.84 | 6.06x | $2.4K | $747.1K | 2.5K | 2.3K |
| 2023 | $1.5K | $524.48 | 2.83x | $960.43 | $866.6K | 2.7K | 2.4K |
| 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 | 573 | $1.8M | $3.2K | 8.52x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 447 | $1.2M | $2.6K | 9.73x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 406 | $732.9K | $1.8K | 8.39x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 507 | $652.3K | $1.3K | 5.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.3K | $426.4K | $80.80 | 4.92x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 227 | $319.8K | $1.4K | 4.94x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 476 | $307.5K | $646.08 | 4.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $290.5K | $53.74 | 4.25x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 391 | $242.2K | $619.37 | 4.99x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 490 | $221.6K | $452.18 | 13.21x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.8K | $172.4K | $95.54 | 10.25x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 507 | $168.8K | $332.93 | 4.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $139.4K | $118.72 | 5.15x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 252 | $132.8K | $526.97 | 8.87x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 4.8K | $119.9K | $24.98 | 6.28x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 42 | $118.2K | $2.8K | 1.67x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 518 | $112.9K | $218.03 | 5.19x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 147 | $109.0K | $741.52 | 5.56x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 45 | $105.3K | $2.3K | 1.74x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 159 | $100.2K | $630.45 | 4.77x |
This provider submits charges 7.12 times higher than what Medicare actually pays.
A markup ratio of 7.12x means for every $100 Medicare pays, this provider initially charges $712. 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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