This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.53x is significantly above the specialty median of 4.7x.
Medicare payments to this provider grew 112% 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 | $4.9K | $582.05 | 8.43x | $4.3K | $249.8K | 1.1K | 849 |
| 2015 | $4.1K | $534.61 | 7.75x | $3.6K | $318.2K | 1.3K | 1.0K |
| 2016 | $4.7K | $626.68 | 7.42x | $4.0K | $381.1K | 1.5K | 1.2K |
| 2017 | $4.3K | $553.43 | 7.74x | $3.7K | $349.6K | 1.5K | 1.2K |
| 2018 | $4.2K | $521.72 | 7.97x | $3.6K | $361.8K | 1.6K | 1.2K |
| 2019 | $4.4K | $604.65 | 7.25x | $3.8K | $361.6K | 1.6K | 1.3K |
| 2020 | $3.5K | $467.96 | 7.51x | $3.0K | $413.7K | 1.4K | 1.3K |
| 2021 | $4.0K | $518.84 | 7.74x | $3.5K | $427.6K | 1.5K | 1.3K |
| 2022 | $4.4K | $596.61 | 7.46x | $3.9K | $452.8K | 1.6K | 1.3K |
| 2023 | $4.5K | $579.43 | 7.82x | $4.0K | $529.0K | 1.8K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 426 | $562.3K | $1.3K | 5.04x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 612 | $409.7K | $669.40 | 8.23x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 623 | $385.1K | $618.15 | 13.52x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 707 | $235.6K | $333.17 | 6.47x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 150 | $231.7K | $1.5K | 5.31x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 242 | $208.3K | $860.82 | 8.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $188.6K | $102.78 | 2.47x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 125 | $185.2K | $1.5K | 5.03x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.5K | $154.6K | $34.23 | 3.42x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 228 | $153.2K | $671.77 | 7.94x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 765 | $142.3K | $185.95 | 18.93x |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | 160 | $107.1K | $669.36 | 12.56x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 143 | $90.0K | $629.18 | 9.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $80.8K | $67.43 | 2.42x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.3K | $78.3K | $59.56 | 3.34x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 545 | $75.2K | $138.01 | 3.02x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 102 | $66.8K | $655.18 | 8.72x |
| 22610 | Fusion of middle spine bones, posterior or posterolateral approach | 74 | $53.0K | $716.79 | 6.78x |
| 22830 | Exploration of spinal fusion | 129 | $52.0K | $403.02 | 19.86x |
| 22595 | Fusion of spine bones at skull base, posterior approach | 38 | $51.8K | $1.4K | 4.78x |
This provider submits charges 7.53 times higher than what Medicare actually pays.
A markup ratio of 7.53x means for every $100 Medicare pays, this provider initially charges $753. 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