Dr. Thomas Aleto, M.D.
Contact & Location
573-443-2402
Columbia, MO 65201
Dr. Aleto performs more knee replacement procedures than 91% of orthopedic surgeons in Missouri, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #14 of 166 ranked knee surgeons in Missouri.
About Dr. Aleto
Practice. Dr. Thomas Aleto is a board-certified orthopedic surgeon practicing in Columbia, Missouri. The latest annual CMS data records 99 knee replacements and 26 hip replacements, 125 procedures in all. That is #14 in Missouri for knee replacement. A Medicare provider since 2006.
Trend. Medicare records run from 2013 to 2024, 11 years. Volume has held between 73 and 169 procedures a year.
National context. Among 6,612 knee replacement surgeons tracked nationally, 99 procedures is more than 2x the national average of 45.
Local context. Columbia has 18 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 52 | 62 |
| 2014 | 40 | 63 |
| 2015 | 30 | 61 |
| 2016 | 34 | 48 |
| 2017 | 0 | 0 |
| 2018 | 51 | 22 |
| 2019 | 105 | 64 |
| 2020 | 81 | 67 |
| 2021 | 89 | 68 |
| 2022 | 50 | 80 |
| 2023 | 34 | 78 |
| 2024 | 26 | 99 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement, 25% to 33% for hip replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Aleto Compares
Procedure volume compared to the Missouri state average.
Volume Trend Analysis
Dr. Aleto's procedure volume has been consistent across 11 years of Medicare data, ranging from 73 to 169 procedures per year. This stability suggests a well-established joint replacement practice.
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.
Pain Management After Joint ReplacementA comprehensive guide to managing post-surgical pain through medication, physical therapy, cold therapy, and non-pharmacological strategies.
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. Aleto
How does Dr. Aleto's procedure volume compare to other Missouri surgeons?
Dr. Aleto has performed 125 Medicare-verified joint replacement procedures. This is more than 2x the Missouri average of 59 procedures per surgeon. Dr. Aleto ranks #24 out of 204 orthopedic surgeons in Missouri.
What types of joint replacement does Dr. Aleto perform?
Dr. Aleto's Medicare data shows procedures in knee replacement (99 cases) and hip replacement (26 cases).
How experienced is Dr. Aleto with knee replacement surgery?
Dr. Aleto ranks #14 in Missouri for knee replacement with 99 Medicare-verified procedures. This high ranking among 204 state surgeons indicates significant experience with this specific procedure.
Are there other orthopedic surgeons near Dr. Aleto in Columbia?
Yes. There are 18 orthopedic surgeons in Columbia 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 Missouri surgeons.
What does the Medicare data for Dr. Aleto represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, 25% to 33% for hip replacement, which puts Dr. Aleto's total volume across all insurers at roughly 430 to 530 procedures against the 125 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Aleto's procedure volume changed over time?
Dr. Aleto's procedure volume has been relatively stable over 11 years of Medicare data, ranging from 73 to 169 procedures per year between 2013 and 2024. Consistent volume over multiple years reflects a steady joint replacement practice.
Does Dr. Aleto perform more than one type of joint replacement?
Yes. Dr. Aleto's Medicare data shows procedures in knee replacement (99 cases), hip replacement (26 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.
Which hospitals is Dr. Aleto affiliated with?
According to CMS facility affiliation data, Dr. Aleto is affiliated with Boone Hospital Center, University Of Missouri Health Care, Bothwell Regional Health Center, Lake Regional Health System, Macon County Samaritan Memorial Hospital.
How does Dr. Aleto compare to other orthopedic surgeons in Columbia?
Among the 18 orthopedic surgeons in Columbia, Dr. Aleto ranks #5 by total Medicare procedure volume. The highest-volume surgeon in Columbia has 209 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Aleto practices?
Boone Hospital Center (4 out of 5 CMS stars, hip/knee complication rate similar to national average); University Of Missouri Health Care (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Bothwell Regional Health Center (3 out of 5 CMS stars, 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 Columbia, Missouri
Dr. Aleto's 125 Medicare procedures are below the Columbia average of 127. The table below compares verified procedure volumes for orthopedic surgeons practicing in Columbia.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Samuel Thompson | 209 | Hip, Knee |
| Dr. Alexander Wendling | 140 | Hip, Knee |
| Dr. Alan Anz | 138 | Hip, Knee |
| Dr. Kurt Bormann | 137 | Shoulder |
| Dr. James Keeney | 77 | Hip, Knee |
| Dr. Khalid Waliullah | 66 | Hip, 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.