Medicare spending analysis for Orthopedic Surgery providers
Orthopedic Surgery accounts for $21.4B in Medicare payments across 207.5K providers.
The specialty's average markup of 4.7x is above the overall Medicare average of 3.77x.
AI-generated analysis based on Medicare payment data.
Providers in this specialty flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $2.1B | 40.0M | 20.7K | — |
| 2015 | $2.1B | 40.2M | 20.7K | +1.7% |
| 2016 | $2.2B | 40.6M | 20.7K | +2.8% |
| 2017 | $2.2B | 43.5M | 20.9K | -0.4% |
| 2018 | $2.2B | 47.0M | 20.9K | +1.2% |
| 2019 | $2.3B | 47.8M | 20.9K | +6.0% |
| 2020 | $1.9B | 40.9M | 20.7K | -17.1% |
| 2021 | $2.3B | 44.8M | 20.7K | +17.6% |
| 2022 | $2.2B | 43.8M | 20.7K | -3.7% |
| 2023 | $2.1B | 42.7M | 20.7K | -2.5% |
| # | Provider | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| 1 | Leo Chen | FL | $2.6M | 5.9K | $432.35 |
| 2 | Seth Coren | FL | $2.2M | 144.7K | $15.37 |
| 3 | Ian Duncan | CA | $2.2M | 18.8K | $117.56 |
| 4 | Erik Spayde | CA | $2.2M | 8.9K | $247.00 |
| 5 | Edward Stolarski | FL | $1.7M | 29.5K | $57.96 |
| 6 | Edward Humbert | FL | $1.7M | 25.2K | $66.40 |
| 7 | Nathaniel Lowen | FL | $1.5M | 19.4K | $77.19 |
| 8 | Peter Simonian | CA | $1.4M | 96.8K | $14.55 |
| 9 | Sean Dingle | FL | $1.3M | 30.5K | $43.66 |
| 10 | James Guerra | FL | $1.3M | 27.2K | $48.63 |
| 11 | Ngoc-Lam Nguyen | FL | $1.3M | 9.3K | $139.67 |
| 12 | George Branovacki | IL | $1.2M | 45.6K | $26.77 |
| 13 | John Dearborn | CA | $1.2M | 9.2K | $128.52 |
| 14 | Alexander Sah | CA | $1.2M | 4.0K | $299.57 |
| 15 | Jeffrey Fernyhough | FL | $1.2M | 13.4K | $88.56 |
| 16 | Daniel Williams | NC | $1.2M | 3.7K | $313.76 |
| 17 | Ramin Ganjianpour | CA | $1.2M | 21.3K | $54.90 |
| 18 | Gregory Martin | FL | $1.1M | 31.7K | $36.19 |
| 19 | Andrew Rosen | NY | $1.0M | 57.8K | $17.63 |
| 20 | Devin Datta | FL | $1.0M | 19.9K | $51.10 |
| 21 | Stephen Zabinski | NJ | $1.0M | 65.6K | $15.48 |
| 22 | Howard Kapp | FL | $1.0M | 14.5K | $69.71 |
| 23 | Steven Dellose | DE | $1.0M | 9.2K | $108.91 |
| 24 | Jeremy Smith | CA | $990.3K | 7.2K | $138.20 |
| 25 | Cyrus Abbaschian | TX | $981.6K | 4.6K | $213.30 |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | $293.8M | 297.9K | $986.16 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $245.6M | 2.7M | $92.05 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $239.1M | 3.7M | $64.13 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | $159.2M | 161.2K | $987.64 |
| 20610 | Aspiration and/or injection of fluid from large joint | $112.7M | 2.2M | $51.08 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $102.9M | 881.4K | $116.73 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | $64.0M | 844.1K | $75.81 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | $60.8M | 55.0K | $1.1K |
| 27245 | Treatment of broken neck of thigh bone with bone implant | $33.3M | 34.5K | $966.51 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | $27.5M | 33.5K | $823.20 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | $26.6M | 315.1K | $84.42 |
| 73562 | X-ray of knee, 3 views | $24.1M | 839.1K | $28.68 |
| 73564 | X-ray of knee, 4 or more views | $23.7M | 706.6K | $33.47 |
| 22612 | Fusion of spine in lower back | $21.9M | 19.6K | $1.1K |
| 73502 | X-ray of hip, 2-3 views | $21.8M | 687.4K | $31.75 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | $21.0M | 34.4K | $609.71 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $20.2M | 153.3K | $131.72 |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | $20.2M | 50.1K | $402.40 |
| 27236 | Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | $19.3M | 20.8K | $928.50 |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | $19.2M | 34.7K | $553.05 |
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.