This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Medicare payments to this provider grew 121% from 2014 to 2023.
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 | $473.85 | $119.12 | 3.98x | $354.73 | $254.3K | 4.4K | 2.8K |
| 2015 | $569.97 | $137.41 | 4.15x | $432.56 | $300.5K | 4.6K | 3.0K |
| 2016 | $593.03 | $138.04 | 4.30x | $454.99 | $319.6K | 5.0K | 3.4K |
| 2017 | $888.03 | $151.15 | 5.88x | $736.88 | $401.6K | 5.0K | 3.5K |
| 2018 | $823.93 | $154.95 | 5.32x | $668.98 | $387.7K | 4.5K | 3.1K |
| 2019 | $758.95 | $197.53 | 3.84x | $561.42 | $556.6K | 5.0K | 3.4K |
| 2020 | $715.33 | $169.38 | 4.22x | $545.95 | $522.1K | 5.0K | 3.3K |
| 2021 | $669.59 | $162.90 | 4.11x | $506.69 | $480.6K | 4.6K | 3.1K |
| 2022 | $709.28 | $165.06 | 4.30x | $544.22 | $505.2K | 4.7K | 3.2K |
| 2023 | $831.13 | $174.56 | 4.76x | $656.57 | $561.5K | 4.4K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 1.1K | $1.2M | $1.1K | 5.39x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 838 | $532.2K | $635.03 | 2.17x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 614 | $472.0K | $768.72 | 1.69x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 8.6K | $410.7K | $47.73 | 5.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.9K | $397.9K | $57.33 | 2.45x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 8.2K | $249.8K | $30.34 | 2.63x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 202 | $213.1K | $1.1K | 5.34x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 1.5K | $165.2K | $113.41 | 2.33x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 980 | $116.4K | $118.74 | 1.53x |
| 73562 | X-ray of knee, 3 views | 4.0K | $105.1K | $26.02 | 4.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 908 | $80.3K | $88.40 | 2.44x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 707 | $51.2K | $72.43 | 2.64x |
| 29881 | Removal of one knee cartilage using an endoscope | 119 | $49.2K | $413.66 | 5.17x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 1.0K | $35.5K | $34.07 | 5.34x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 659 | $22.3K | $33.84 | 5.10x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 422 | $20.1K | $47.65 | 2.84x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 639 | $19.8K | $30.93 | 4.93x |
| 28299 | Correction of bunion | 39 | $19.4K | $497.11 | 6.73x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 616 | $16.6K | $26.92 | 5.09x |
| 73630 | X-ray of foot, minimum of 3 views | 761 | $16.0K | $21.05 | 5.06x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. 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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