Dr. Guy D Paiement, MD
Dr. Guy D Paiement is a board-certified orthopedic surgeon practicing in Los Angeles, California. A Medicare provider since 2006, Dr. Paiement has performed 32 Medicare-verified knee replacements (#233 in California) and 18 hip replacements, for a combined total of 50 procedures.
In California, Dr. Paiement performs below average in knee (32 vs 45 avg), below average in hip (18 vs 41 avg).
Dr. Paiement's reported Medicare volume is split between knee replacements (32 cases) and hip replacements (18 cases).
Los Angeles is home to 34 orthopedic surgeons in the current Medicare dataset. Patients in the Los Angeles area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Medicare records for Dr. Paiement extend back to 2013, covering 11 years of data. Over that period, recorded procedure volume increased from 40 to 50 in the most recent data, a 25% increase. This sustained growth reflects an expanding joint replacement practice.
Dr. Paiement's 32 knee replacement procedures is below the national average of 45 among 6,720 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims represent approximately 33–37% of all joint replacements performed nationally (source: CMS data, AJRR). This range estimates the surgeon's total practice volume across all payers. The verified Medicare count above is the definitive, audited figure.
How Dr. Paiement Compares
Procedure volume compared to the California state average.
Contact & Location
Los Angeles, CA 90048
Verified Case Volume Trends (2013-Current)
Volume Trend Analysis
Dr. Paiement's Medicare-recorded procedure volume has trended upward over 11 years, increasing 25% from 40 procedures in 2013 to 50 in the most recent data.
Hospital Affiliations & Quality
Quality ratings and complication rates are hospital-level metrics from CMS Hospital Compare and do not reflect individual surgeon performance. Star ratings updated quarterly. Complication data covers a rolling 3-year period.
Patient Resources: Preparing for Knee Replacement
If you are considering knee replacement surgery, these evidence-based guides can help you prepare and recover:
An overview of current surgical approaches including robotic-assisted and minimally invasive techniques, implant options, and expected outcomes.
Prehabilitation: Preparing Your Body for SurgeryEvidence-based exercises and lifestyle adjustments that can improve surgical outcomes and speed recovery when started weeks before your procedure.
Rehabilitation Roadmap: Your Complete Recovery GuideA structured physical therapy progression from the first post-op exercises through full strength and mobility restoration over 3 to 6 months.
Medicare Bundled Payment Programs for Joint ReplacementHow bundled payment models affect your joint replacement costs and care coordination, and what it means for hospital and surgeon selection.
Knee Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full knee replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Paiement
How does Dr. Paiement's procedure volume compare to other California surgeons?
Dr. Paiement has performed 50 Medicare-verified joint replacement procedures. The California average is 65 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Paiement ranks #259 out of 608 orthopedic surgeons in California.
What types of joint replacement does Dr. Paiement perform?
Dr. Paiement's Medicare data shows procedures in knee replacement (32 cases) and hip replacement (18 cases).
Are there other orthopedic surgeons near Dr. Paiement in Los Angeles?
Yes. There are 34 orthopedic surgeons in Los Angeles in the current Medicare dataset. Patients can compare procedure volumes and specializations to choose the surgeon who best fits their needs. Use the state page to view all California surgeons.
What does the Medicare data for Dr. Paiement represent?
The procedure counts shown are based on the most recent Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). This captures approximately 33–37% of all joint replacements performed nationally. Dr. Paiement's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 50 procedures shown here.
Has Dr. Paiement's procedure volume changed over time?
Yes. Dr. Paiement's Medicare-recorded volume has increased from 40 procedures in 2013 to 50 in the most recent data, a 25% increase over 11 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 59 procedures in 2019.
Does Dr. Paiement perform more than one type of joint replacement?
Yes. Dr. Paiement's Medicare data shows procedures in knee replacement (32 cases), hip replacement (18 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Paiement affiliated with?
According to CMS facility affiliation data, Dr. Paiement is affiliated with Cedars-Sinai Medical Center.
How does Dr. Paiement compare to other orthopedic surgeons in Los Angeles?
Among the 34 orthopedic surgeons in Los Angeles, Dr. Paiement ranks #11 by total Medicare procedure volume. The highest-volume surgeon in Los Angeles has 198 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Paiement practices?
Cedars-Sinai Medical Center (5 out of 5 CMS stars, hip/knee complication rate similar to national average). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Los Angeles, California
Dr. Paiement's 50 Medicare procedures are below the Los Angeles average of 103. The table below compares verified procedure volumes for orthopedic surgeons practicing in Los Angeles.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Daniel Oakes | 198 | Hip, Knee |
| Dr. John Tiberi | 172 | Hip, Knee |
| Dr. Andrew Spitzer | 91 | Hip, Knee |
| Dr. Vishal Hegde | 83 | Hip, Knee |
| Dr. Micah Adamson | 65 | Hip, Knee |
| Dr. Paul Gilbert | 65 | Hip, Knee |
Patient Reviews & Ratings
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