This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Orthopedic Surgery providers nationally.
Their average markup ratio of 7.13x 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 | $1.9K | $180.57 | 10.34x | $1.7K | $389.9K | 4.2K | 3.0K |
| 2015 | $2.0K | $185.87 | 10.79x | $1.8K | $389.3K | 4.2K | 3.2K |
| 2016 | $1.9K | $172.80 | 10.90x | $1.7K | $383.1K | 3.9K | 3.1K |
| 2017 | $2.3K | $198.13 | 11.42x | $2.1K | $393.0K | 3.7K | 2.8K |
| 2018 | $2.4K | $217.84 | 11.02x | $2.2K | $379.5K | 3.2K | 2.5K |
| 2019 | $2.2K | $220.40 | 10.02x | $2.0K | $445.0K | 3.5K | 2.8K |
| 2020 | $2.2K | $233.26 | 9.39x | $2.0K | $551.8K | 4.1K | 3.1K |
| 2021 | $1.9K | $194.82 | 9.52x | $1.7K | $645.6K | 4.8K | 3.6K |
| 2022 | $1.9K | $178.17 | 10.58x | $1.7K | $447.6K | 5.0K | 3.6K |
| 2023 | $2.2K | $176.14 | 12.40x | $2.0K | $374.3K | 4.8K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 1.6K | $1.1M | $708.60 | 1.62x |
| 27447 | Repair of knee joint | 923 | $1.0M | $1.1K | 11.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.0K | $447.1K | $56.23 | 3.58x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 410 | $446.4K | $1.1K | 14.07x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.4K | $381.6K | $51.57 | 8.26x |
| 73562 | X-ray of knee, 3 views | 6.4K | $248.5K | $38.97 | 5.62x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.6K | $211.1K | $82.47 | 3.63x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 751 | $88.4K | $117.72 | 1.41x |
| 29881 | Removal of one knee cartilage using an endoscope | 130 | $56.4K | $433.51 | 14.85x |
| 77002 | Fluoroscopic guidance for insertion of needle | 705 | $55.1K | $78.21 | 7.21x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 494 | $55.0K | $111.30 | 4.04x |
| 73502 | X-ray of hip with pelvis, 2-3 views | 1.6K | $53.5K | $33.68 | 8.08x |
| 73721 | MRI scan of leg joint | 369 | $48.0K | $130.20 | 17.13x |
| 72148 | MRI scan of lower spinal canal | 207 | $24.1K | $116.22 | 23.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 660 | $20.6K | $31.23 | 4.59x |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1.5K | $20.6K | $13.51 | 2.22x |
| 29880 | Removal of both knee cartilages using an endoscope | 44 | $20.0K | $453.50 | 15.03x |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 2.5K | $16.8K | $6.84 | 4.09x |
| 73522 | X-ray of both hips with pelvis, 3-4 views | 440 | $16.5K | $37.55 | 7.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 227 | $15.8K | $69.48 | 3.91x |
This provider submits charges 7.13 times higher than what Medicare actually pays.
A markup ratio of 7.13x means for every $100 Medicare pays, this provider initially charges $713. 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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