Dr. Brian Silvia, M.D.
Contact & Location
563-584-4460
Dubuque, IA 52002
About Dr. Silvia
Dr. Brian Silvia is a board-certified orthopedic surgeon practicing in Dubuque, Iowa. A Medicare provider since 2007, Dr. Silvia performed 32 Medicare-verified knee replacements (#54 in Iowa) and 20 hip replacements in the latest annual CMS data, for a combined total of 52 procedures.
In Iowa, Dr. Silvia performs below the state average in knee (32 vs 48), below the state average in hip (20 vs 36).
Dr. Silvia's reported Medicare volume is split between knee replacements (32 cases) and hip replacements (20 cases).
Dubuque is home to 5 orthopedic surgeons in the current Medicare dataset. Patients in the Dubuque area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.
Medicare records for Dr. Silvia extend back to 2014, covering 11 years of data. Over that period, recorded procedure volume increased from 39 to 52 in the most recent data, a 33% increase. This sustained growth reflects an expanding joint replacement practice.
Dr. Silvia's 32 knee replacement procedures is below the national average of 45 among 6,599 surgeons. Medicare data captures roughly a third of all joint replacements, so actual volume is likely higher.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 0 | 0 |
| 2014 | 16 | 23 |
| 2015 | 11 | 13 |
| 2016 | 0 | 18 |
| 2017 | 20 | 37 |
| 2018 | 18 | 51 |
| 2019 | 28 | 41 |
| 2020 | 20 | 50 |
| 2021 | 27 | 55 |
| 2022 | 22 | 57 |
| 2023 | 27 | 40 |
| 2024 | 20 | 32 |
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. Silvia Compares
Procedure volume compared to the Iowa state average.
Volume Trend Analysis
Dr. Silvia's Medicare-recorded procedure volume has trended upward over 11 years, increasing 33% from 39 procedures in 2014 to 52 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.
What to Expect on the Day of SurgeryA step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
Medicare Coverage for Joint ReplacementWhat Medicare Part A and Part B cover for joint replacement surgery, including hospital stays, surgeon fees, anesthesia, and physical therapy.
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. Silvia
How does Dr. Silvia's procedure volume compare to other Iowa surgeons?
Dr. Silvia has performed 52 Medicare-verified joint replacement procedures. The Iowa average is 73 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Silvia ranks #59 out of 105 orthopedic surgeons in Iowa.
What types of joint replacement does Dr. Silvia perform?
Dr. Silvia's Medicare data shows procedures in knee replacement (32 cases) and hip replacement (20 cases).
Are there other orthopedic surgeons near Dr. Silvia in Dubuque?
Yes. There are 5 orthopedic surgeons in Dubuque 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 Iowa surgeons.
What does the Medicare data for Dr. Silvia 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. Silvia's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 52 procedures shown here.
Has Dr. Silvia's procedure volume changed over time?
Yes. Dr. Silvia's Medicare-recorded volume has increased from 39 procedures in 2014 to 52 in the most recent data, a 33% increase over 11 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 82 procedures in 2021.
Does Dr. Silvia perform more than one type of joint replacement?
Yes. Dr. Silvia's Medicare data shows procedures in knee replacement (32 cases), hip replacement (20 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Silvia affiliated with?
According to CMS facility affiliation data, Dr. Silvia is affiliated with Allen Hospital, Waverly Health Center, Grundy County Memorial Hospital, Mercyone Waterloo Medical Center.
How does Dr. Silvia compare to other orthopedic surgeons in Dubuque?
Among the 5 orthopedic surgeons in Dubuque, Dr. Silvia ranks #2 by total Medicare procedure volume. Dr. Silvia is among the highest-volume surgeons in Dubuque.
What are the quality ratings for hospitals where Dr. Silvia practices?
Allen Hospital (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Waverly Health Center (insufficient case volume for complication rate comparison); Grundy County Memorial Hospital (insufficient case volume for complication rate comparison). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Dubuque, Iowa
Dr. Silvia's 52 Medicare procedures are above the Dubuque average of 37. The table below compares verified procedure volumes for orthopedic surgeons practicing in Dubuque.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Bryan Trumm | 55 | Hip, Knee, Shoulder |
| Dr. Ryan Cloos | 44 | Hip, Knee |
| Dr. Kyle Korth | 17 | Knee |
| Dr. Stephen Pierotti | 15 | Knee |
Patient Resources & Verification
Research reviews, verify credentials, and check official quality data through these trusted sources:
Medicare Care Compare and NPI Registry are official U.S. government sources. Google reviews reflect user-submitted feedback. OrthoProcedures.com does not verify the accuracy of third-party review content.