Dr. Julious Smith, M.D.
Contact & Location
804-288-8512
Richmond, VA 23226
Dr. Smith performs more knee replacement procedures than 48% of orthopedic surgeons in Virginia, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #94 of 183 ranked knee surgeons in Virginia.
About Dr. Smith
Practice. Dr. Julious Smith is a board-certified orthopedic surgeon practicing in Richmond, Virginia. The latest annual CMS data records 41 knee replacements. That is #94 in Virginia for knee replacement. Dr. Smith also holds credentials in Sports Medicine. A Medicare provider since 2006.
Trend. Medicare records run from 2014 to 2024, 11 years. Volume rose from 22 procedures a year to 41, up 86%.
National context. Among 6,612 knee replacement surgeons tracked nationally, 41 procedures is near the national average of 45.
Local context. Richmond has 25 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 | Knee Replacement |
|---|---|
| 2013 | 0 |
| 2014 | 22 |
| 2015 | 13 |
| 2016 | 19 |
| 2017 | 23 |
| 2018 | 29 |
| 2019 | 18 |
| 2020 | 20 |
| 2021 | 17 |
| 2022 | 29 |
| 2023 | 29 |
| 2024 | 41 |
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. 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. Smith Compares
Procedure volume compared to the Virginia state average.
Volume Trend Analysis
Dr. Smith's Medicare-recorded procedure volume has trended upward over 11 years, increasing 86% from 22 procedures in 2014 to 41 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.
Nutrition and Recovery After Joint ReplacementHow protein intake, anti-inflammatory foods, hydration, and targeted supplements support bone healing and tissue repair after surgery.
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. Smith
How does Dr. Smith's procedure volume compare to other Virginia surgeons?
Dr. Smith has performed 41 Medicare-verified joint replacement procedures. The Virginia average is 82 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Smith ranks #138 out of 229 orthopedic surgeons in Virginia.
What types of joint replacement does Dr. Smith perform?
Dr. Smith's reported Medicare volume is focused on knee replacement, with 41 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Are there other orthopedic surgeons near Dr. Smith in Richmond?
Yes. There are 25 orthopedic surgeons in Richmond 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 Virginia surgeons.
What does the Medicare data for Dr. Smith 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, which puts Dr. Smith's total volume across all insurers at roughly 150 to 180 procedures against the 41 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. Smith's procedure volume changed over time?
Yes. Dr. Smith's Medicare-recorded volume has increased from 22 procedures in 2014 to 41 in the most recent data, a 86% increase over 11 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 41 procedures in 2024.
Which hospitals is Dr. Smith affiliated with?
According to CMS facility affiliation data, Dr. Smith is affiliated with Bon Secours St Marys Hospital, Bon Secours St Francis Medical Center, Bon Secours Memorial Regional Medical Center, Medical College Of Virginia Hospitals, Rappahannock General Hospital.
How does Dr. Smith compare to other orthopedic surgeons in Richmond?
Among the 25 orthopedic surgeons in Richmond, Dr. Smith ranks #16 by total Medicare procedure volume. The highest-volume surgeon in Richmond has 343 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Smith practices?
Bon Secours St Marys Hospital (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Bon Secours St Francis Medical Center (3 out of 5 CMS stars, hip/knee complication rate similar to national average); Bon Secours Memorial Regional Medical Center (4 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 Richmond, Virginia
Dr. Smith's 41 Medicare procedures are below the Richmond average of 169. The table below compares verified procedure volumes for orthopedic surgeons practicing in Richmond.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Michael Wind | 343 | Hip, Knee |
| Dr. Colin Mudrick | 194 | Hip, Knee |
| Dr. Matthew Dobzyniak | 178 | Hip, Knee |
| Dr. William Nordt | 167 | Knee |
| Dr. Jason Hull | 148 | Hip, Knee |
| Dr. Gregory Tanner | 115 | Hip, Knee, Shoulder |
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.