Medicare spending analysis for Hand Surgery providers
Hand Surgery accounts for $1.2B in Medicare payments across 14.6K providers.
The specialty's average markup of 4.4x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $81.9M | 1.6M | 1.2K | — |
| 2015 | $89.5M | 1.8M | 1.3K | +9.3% |
| 2016 | $98.5M | 2.0M | 1.4K | +10.1% |
| 2017 | $105.9M | 2.2M | 1.4K | +7.5% |
| 2018 | $115.6M | 2.3M | 1.5K | +9.2% |
| 2019 | $128.5M | 2.5M | 1.5K | +11.1% |
| 2020 | $108.3M | 2.2M | 1.5K | -15.7% |
| 2021 | $142.1M | 2.5M | 1.6K | +31.2% |
| 2022 | $143.6M | 2.6M | 1.6K | +1.0% |
| 2023 | $147.9M | 2.7M | 1.6K | +3.0% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Ehsan Esmaeili | FL | $691.3K | 9.7K | $71.28 |
| 2 | Michael Moustoukas | FL | $680.5K | 13.7K | $49.73 |
| 3 | Brian Najarian | MA | $632.5K | 10.7K | $58.97 |
| 4 | Peter Stein | NY | $631.8K | 8.3K | $76.55 |
| 5 | Nicholas Caggiano | CA | $558.5K | 10.4K | $53.86 |
| 6 | Edward Bieber | MD | $545.0K | 9.2K | $59.51 |
| 7 | David Chan | FL | $536.7K | 6.2K | $86.95 |
| 8 | Tyler Marks | MS | $527.4K | 9.5K | $55.38 |
| 9 | James Verheyden | OR | $519.9K | 11.1K | $46.86 |
| 10 | Dimitrios Christoforou | NY | $481.9K | 8.2K | $58.88 |
| 11 | Kyle Moyles | FL | $474.7K | 7.7K | $61.59 |
| 12 | Brandon Luskin | FL | $467.8K | 10.5K | $44.64 |
| 13 | Damon Adamany | AZ | $466.4K | 8.3K | $56.34 |
| 14 | Stephen Helgemo | FL | $441.4K | 5.0K | $88.54 |
| 15 | Brian Chalkin | OK | $427.2K | 6.7K | $63.46 |
| 16 | Steven Puopolo | NY | $425.9K | 9.3K | $45.89 |
| 17 | Check Kam | FL | $418.5K | 6.0K | $70.28 |
| 18 | Roberto Acosta | FL | $398.4K | 6.9K | $57.57 |
| 19 | Michael Behrman | CA | $389.1K | 6.4K | $60.84 |
| 20 | Andre Ishak | CA | $387.4K | 6.6K | $58.28 |
| 21 | Jared Niska | CA | $371.1K | 5.1K | $72.95 |
| 22 | Gary Pess | NJ | $370.1K | 6.2K | $60.11 |
| 23 | Michael Madden | AZ | $368.3K | 1.9K | $194.79 |
| 24 | Robert Campolattaro | VA | $351.3K | 5.0K | $70.35 |
| 25 | David Tuckman | NY | $351.2K | 4.5K | $77.65 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $19.9M | 213.9K | $92.88 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $18.8M | 289.1K | $64.89 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $14.7M | 124.6K | $117.70 |
| 64721 | Release and/or relocation of hand nerve | $10.5M | 33.9K | $310.15 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $10.5M | 136.8K | $76.81 |
| 26055 | Incision of tendon covering of finger | $8.0M | 37.6K | $213.02 |
| 29848 | Release of wrist ligament using an endoscope | $6.4M | 17.0K | $377.30 |
| 20550 | Injection into tendon or ligament | $5.8M | 149.2K | $38.98 |
| J0775 | Injection, collagenase, clostridium histolyticum, 0.01 mg | $5.2M | 102.4K | $50.75 |
| 73130 | X-ray of hand, minimum of 3 views | $3.7M | 136.4K | $27.44 |
| 73110 | X-ray of wrist, minimum of 3 views | $3.2M | 105.8K | $30.11 |
| 25447 | Removal of bone joints between wrist and fingers | $3.1M | 5.0K | $613.63 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | $2.8M | 2.5K | $1.1K |
| 20600 | Aspiration and/or injection of fluid from small joint | $2.4M | 67.4K | $36.10 |
| 73140 | X-ray of finger, minimum of 2 views | $1.9M | 67.8K | $27.36 |
| 64718 | Release and/or relocation of elbow nerve | $1.6M | 3.6K | $439.18 |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | $1.6M | 1.8K | $858.83 |
| 20610 | Aspiration and/or injection of fluid from large joint | $1.5M | 29.5K | $50.25 |
| 20605 | Aspiration and/or injection of fluid from medium joint | $1.4M | 34.5K | $40.68 |
| 20526 | Injection of carpal tunnel | $1.3M | 18.6K | $68.52 |
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.