Total Knee ReplacementTotal Hip ReplacementArthroscopic SurgeryACL ReconstructionRotator Cuff RepairFracture RepairSpinal FusionCarpal Tunnel ReleaseJoint InjectionBone Density Testing

Based on specialty. Actual services may vary — contact the provider's office to confirm.

MIPS Quality Score

PY 2023

75.1/100High

Quality

52.7

Promoting Interoperability

100.0

Improvement Activities

40.0

Cost

64.2

MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov

Procedure Pricing (Medicare Data)

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
22830 Exploration of spine fusion	$5,933	$466	$371	11
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	$5,657	$1,560	$1,243	15
22612 Fusion of spine in lower back	$5,143	$1,650	$1,314	43
22558 Fusion of lower spine bone through abdomen with partial removal of disc	$4,945	$967	$770	37
15734 Creation of muscle graft to trunk	$4,831	$865	$690	13
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	$3,540	$579	$461	38
22846 Placement of stabilizing device to front, 4-7 spine bone segments	$2,757	$798	$636	13
22842 Placement of stabilizing device to back, 3-6 spine bone segments	$2,756	$804	$641	41
22614 Fusion of additional segment of spine	$1,557	$412	$328	91
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	$1,321	$369	$294	19
22848 Insertion of instrumentation to pelvic bones	$1,284	$376	$300	17
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	$1,219	$214	$170	42
72148 Mri scan of lower spinal canal without contrast	$1,066	$156	$116	305
72146 Mri scan of middle spinal canal without contrast	$1,057	$124	$97	67
72141 Mri scan of upper spinal canal without contrast	$1,009	$133	$102	149
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	$875	$221	$176	58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	$862	$271	$216	115
61783 Computer-assisted spinal procedure	$775	$247	$197	11
99204 New patient office or other outpatient visit, 45-59 minutes	$485	$162	$121	124
99215 Established patient office or other outpatient visit, 40-54 minutes	$417	$168	$132	73
99203 New patient office or other outpatient visit, 30-44 minutes	$314	$111	$88	11
99214 Established patient office or other outpatient visit, 30-39 minutes	$310	$124	$92	869
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	$301	$83	$66	12
97163 Evaluation for physical therapy, typically 45 minutes	$246	$94	$65	28
96372 Injection of drug or substance under skin or into muscle	$240	$13	$10	69
97162 Evaluation for physical therapy, typically 30 minutes	$221	$98	$75	62
97161 Evaluation for physical therapy, typically 20 minutes	$218	$98	$78	14
99213 Established patient office or other outpatient visit, 20-29 minutes	$209	$88	$65	531
72131 Ct scan of lower spine without contrast	$200	$46	$36	37
72125 Ct scan of upper spine without contrast	$200	$45	$36	28
72110 X-ray of lower and sacral spine, minimum of 4 views	$165	$48	$36	250
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	$160	$51	$40	13
72050 X-ray of upper spine, 4-5 views	$156	$49	$38	114
72070 X-ray of middle spine, 2 views	$149	$32	$23	77
72100 X-ray of lower and sacral spine, 2-3 views	$123	$38	$28	236
72040 X-ray of upper spine, 2-3 views	$119	$38	$29	78
73502 X-ray of hip, 2-3 views	$118	$41	$33	19
97530 Therapy procedure using functional activities	$96	$34	$27	1,181
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	$92	$26	$21	1,394
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$88	$22	$17	631
97140 Therapy procedure using manual technique, each 15 minutes	$83	$21	$15	55
J1030 Injection, methylprednisolone acetate, 40 mg	$64	$7	$6	75
97150 Therapy procedure in a group setting	$57	$14	$11	1,206
J1885 Injection, ketorolac tromethamine, per 15 mg	$1	$1	$0	123

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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