Physician
Orthopaedic Surgery
Orthopaedic Surgery
VICTORVILLE, CA
PROVIDENCE ST MARY MEDICAL CENTER
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
27447 Replacement of knee joint, both sides of knee | $2,015 | $1,248 | $994 | 15 |
27245 Treatment of broken neck of thigh bone with bone implant | $1,930 | $1,266 | $1,009 | 14 |
99204 New patient office or other outpatient visit, 45-59 minutes | $325 | $170 | $119 | 58 |
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $268 | $177 | $135 | 49 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $268 | $131 | $98 | 218 |
20985 Computer-assisted surgery for muscle and bone procedure | $224 | $147 | $117 | 25 |
20610 Aspiration and/or injection of fluid from large joint | $201 | $79 | $60 | 250 |
99203 New patient office or other outpatient visit, 30-44 minutes | $176 | $116 | $79 | 86 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $144 | $93 | $67 | 451 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $93 | $59 | $43 | 11 |
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | $77 | $50 | $39 | 295 |
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg | $75 | $0 | $0 | 40 |
J1100 Injection, dexamethasone sodium phosphate, 1 mg | $74 | $0 | $0 | 174 |
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg | $43 | $18 | $14 | 1,000 |
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | $41 | $17 | $13 | 2,720 |
76000 Imaging guidance for procedure, 60 minutes or less | $24 | $16 | $13 | 25 |
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | $23 | $9 | $7 | 2,230 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.