#127 Knee
#169 Hip

Dr. Michael Vrana, MD

Orthopedic Surgery
69 procedures 4 hospitals New Braunfels, TX
Latest available Medicare data — updated April 2026
Rising Star
Knee replacement recovery kit Ice machines, mobility aids, bathroom safety — under $50 essentials
National Comparison by Procedure
Hip 19 vs 36 avg (4,526 surgeons)
Knee 50 vs 45 avg (6,720 surgeons)

Dr. Michael Vrana is a board-certified orthopedic surgeon practicing in New Braunfels, Texas. Dr. Vrana has performed 50 Medicare-verified knee replacements (#127 in Texas) and 19 hip replacements, for a combined total of 69 procedures.

In Texas, Dr. Vrana performs above average in knee (50 vs 41 avg), below average in hip (19 vs 30 avg).

Dr. Vrana's reported Medicare volume is split between knee replacements (50 cases) and hip replacements (19 cases).

New Braunfels is home to 5 orthopedic surgeons in the current Medicare dataset. Patients in the New Braunfels area can compare surgeon volume and procedure specialization to find the right fit for their joint replacement needs.

Medicare records for Dr. Vrana extend back to 2014, covering 10 years of data. Over that period, recorded procedure volume increased from 29 to 69 in the most recent data, a 138% increase. This sustained growth reflects an expanding joint replacement practice.

Among 6,720 knee replacement surgeons tracked nationally, Dr. Vrana's 50 verified procedures is near the national average of 45.

Verified Medicare Cases

Knee Replacement
50 verified cases
#127 in Texas
Hip Replacement
19 verified cases
#169 in Texas
Estimated total: 190 – 210 procedures (all insurers)
Based on Medicare FFS representing 33–37% of national joint replacement volume
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. Vrana Compares

Procedure volume compared to the Texas state average.

Hip Below Avg
19 Avg: 30
Knee High
50 Avg: 41
Dr. Vrana Texas Average

Contact & Location

960 Gruene Rd Ste 101
New Braunfels, TX 78130
NPI: 1164602868
Credentials: MD
Active Medicare provider
Find Practice on Google Maps

Volume Trend Analysis

Dr. Vrana's Medicare-recorded procedure volume has trended upward over 10 years, increasing 138% from 29 procedures in 2014 to 69 in the most recent data.

Years of Data 10
2023 Volume 69
Peak Volume 69 (2023)
Trend Growing

Hospital Affiliations & Quality

H
Christus Santa Rosa Hospital-San Marcos
★★★★☆
San Marcos, TX
Low case volume
H
Lavaca Medical Center
Hallettsville, TX
H
Yoakum Community Hospital
Yoakum, TX
H
Children'S Hospital Of San Antonio
San Antonio, TX

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.

Knee Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:

Week 1-2 Walking with assistive device. Knee bending exercises begin immediately. Ice therapy and elevation for swelling control.
Week 3-6 Increased range of motion (target 90 degrees). Walking longer distances. Physical therapy intensifies with strengthening exercises.
Week 7-12 Most patients walk without assistive devices. Resume driving and desk work. Continue PT for strength and flexibility.
Month 4-6 Near-full recovery. Resume most recreational activities. Some swelling and stiffness may persist but continues improving.

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. Vrana

How does Dr. Vrana's procedure volume compare to other Texas surgeons?

Dr. Vrana has performed 69 Medicare-verified joint replacement procedures. This is in line with the Texas average of 56 procedures per surgeon. Dr. Vrana ranks #147 out of 573 orthopedic surgeons in Texas.

What types of joint replacement does Dr. Vrana perform?

Dr. Vrana's Medicare data shows procedures in knee replacement (50 cases) and hip replacement (19 cases).

Are there other orthopedic surgeons near Dr. Vrana in New Braunfels?

Yes. There are 5 orthopedic surgeons in New Braunfels 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 Texas surgeons.

What does the Medicare data for Dr. Vrana 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. Vrana's total practice volume — including private insurance and Medicare Advantage patients — is likely higher than the 69 procedures shown here.

Has Dr. Vrana's procedure volume changed over time?

Yes. Dr. Vrana's Medicare-recorded volume has increased from 29 procedures in 2014 to 69 in the most recent data, a 138% increase over 10 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 69 procedures in 2023.

Does Dr. Vrana perform more than one type of joint replacement?

Yes. Dr. Vrana's Medicare data shows procedures in knee replacement (50 cases), hip replacement (19 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Vrana affiliated with?

According to CMS facility affiliation data, Dr. Vrana is affiliated with Christus Santa Rosa Hospital-San Marcos, Lavaca Medical Center, Yoakum Community Hospital, Children'S Hospital Of San Antonio.

How does Dr. Vrana compare to other orthopedic surgeons in New Braunfels?

Among the 5 orthopedic surgeons in New Braunfels, Dr. Vrana ranks #2 by total Medicare procedure volume. Dr. Vrana is among the highest-volume surgeons in New Braunfels.

What are the quality ratings for hospitals where Dr. Vrana practices?

Christus Santa Rosa Hospital-San Marcos (4 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 New Braunfels, Texas

Dr. Vrana's 69 Medicare procedures are above the New Braunfels average of 63. The table below compares verified procedure volumes for orthopedic surgeons practicing in New Braunfels.

SurgeonProceduresSpecialties
Dr. Creighton Tubb 125 Hip, Knee
Dr. David Templin 61 Hip, Knee, Shoulder
Dr. David Starch 35 Knee
Dr. Trent Twitero 26 Knee

Patient Reviews & Ratings

OrthoProcedures.com focuses on verified Medicare procedure data. For patient reviews, ratings, and appointment scheduling, visit these trusted platforms:

These links lead to third-party websites. OrthoProcedures.com is not affiliated with these platforms and cannot verify the accuracy of reviews.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Michael Vrana, MD -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/tx/dr-michael-vrana-new-braunfels.html

Link: https://orthoprocedures.com/surgeons/tx/dr-michael-vrana-new-braunfels.html

Data source: CMS Medicare Part B Provider Utilization & Payment Data. Full methodology | Open Data API

Important: Rankings are based solely on Medicare procedure volume and do not reflect quality of care, patient outcomes, or procedures covered by private insurance. This data represents approximately one-third to 40% of all joint replacement procedures nationwide. Always consult with healthcare providers to make informed decisions about your care.