Data story

527,857 Joint Replacements Across the U.S.

Every Medicare-billed hip, knee, and shoulder replacement performed by 8,244 orthopedic surgeons in 2024, visualized. Source: CMS Medicare Physician & Other Practitioners Annual Release. License: CC-BY-4.0.

527,857
Total Procedures
8,244
Surgeons
51
States and DC
45
Median per Surgeon
779
Most by One Surgeon
By Procedure Type
Knee replacements outnumber hip 1.8 to 1
Knee
298,538
56.6%
Hip
165,538
31.4%
Shoulder
63,781
12.1%
Total Knee Arthroplasty (HCPCS 27447)
Total Hip Arthroplasty (HCPCS 27130)
Total Shoulder Arthroplasty (HCPCS 23472)
Surgeon Count by Procedure
80% do knees, only 27% do shoulders
Knee
6,612 knee surgeons
80.2%
Hip
4,542 hip surgeons
55.1%
Shoulder
2,217 shoulder surgeons
26.9%

Many surgeons perform multiple procedure types. Percentages are of 8,244 total unique surgeons. Shoulder replacement remains a highly specialized procedure.

Surgeon Volume Distribution
The 99th percentile surgeon performs 6.4x the median volume
45
Median procedures/year
140
90th percentile
287
99th percentile
779
Highest volume surgeon

Most orthopedic surgeons perform fewer than 50 Medicare joint replacements per year (4,443 of 8,244). Only 65 surgeons (0.8%) exceed 300 procedures annually.

Highest Volume Surgeons
The 15 busiest joint replacement surgeons in America
Knee
Hip
Shoulder

Medicare fee-for-service only. Actual volumes are estimated 2.5–3x higher across all payers.

Volume by State: All 50 States and DC
California, Florida, and Texas account for 21% of all joint replacements
STATE
KNEE HIP SHLDR TOTAL
Knee
Hip
Shoulder
Knee-to-Hip Ratio by State
Alabama and Mississippi perform 2.6 knee replacements for every hip; District of Columbia and Vermont are closest to 1:1

Ratio of knee to hip replacement volume. National average is 1.80:1. States in the South and Midwest tend to skew higher toward knee replacements.

Data year 2024, updated May 2026
Data: CMS Medicare Physician & Other Practitioners 2024 Annual Release • Medicare fee-for-service claims only (est. ~33–37% of all joint replacements)
Free JSON API (no signup, no rate limits): orthoprocedures.com/open-data • Methodology: orthoprocedures.com/data-methodology

Cite This Data

This dataset and visualization are free to use, share, and adapt under CC-BY-4.0. Attribution required. Source data from CMS (U.S. government, public domain).

Academic Citation (APA)
OrthoProcedures.com. (2026). 527,857 Joint Replacements Across the U.S.: Interactive Data Visualization of 2024 Medicare Orthopedic Surgery Volume [Data story]. Based on CMS Medicare Physician & Other Practitioners 2024 Annual Release. https://orthoprocedures.com/data-story
Short Citation
OrthoProcedures.com, 2026. U.S. Joint Replacement Data 2024. https://orthoprocedures.com/data-story (CC-BY-4.0)

Source data and full JSON API available at orthoprocedures.com/open-data.

Full methodology at orthoprocedures.com/data-methodology.

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