This provider's $13.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 562% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 220% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $21.2K | $2.2K | 9.85x | $19.1K | $326.7K | 124 | 116 |
| 2015 | $16.9K | $1.6K | 10.54x | $15.3K | $409.1K | 163 | 154 |
| 2016 | $17.3K | $1.7K | 10.30x | $15.6K | $472.0K | 203 | 187 |
| 2017 | $21.7K | $1.9K | 11.31x | $19.7K | $628.2K | 235 | 220 |
| 2018 | $21.4K | $1.9K | 10.99x | $19.5K | $553.7K | 209 | 198 |
| 2019 | $16.1K | $1.5K | 10.76x | $14.6K | $600.6K | 202 | 188 |
| 2020 | $27.9K | $2.7K | 10.40x | $25.2K | $1.9M | 565 | 536 |
| 2021 | $37.4K | $3.5K | 10.78x | $33.9K | $3.3M | 1.0K | 978 |
| 2022 | $40.6K | $3.5K | 11.68x | $37.1K | $3.5M | 1.1K | 1.0K |
| 2023 | $43.0K | $3.6K | 11.86x | $39.4K | $2.2M | 654 | 627 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27446 | Repair of knee joint | 944 | $6.0M | $6.4K | 9.67x |
| 27447 | Repair of knee joint | 750 | $5.2M | $6.9K | 11.39x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 353 | $2.5M | $7.1K | 12.79x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 36 | $63.8K | $1.8K | 10.75x |
| 29880 | Removal of both knee cartilages using an endoscope | 47 | $44.6K | $949.60 | 10.20x |
| 29881 | Removal of one knee cartilage using an endoscope | 30 | $28.9K | $964.82 | 10.02x |
| 76000 | Imaging guidance for procedure, up to 1 hour | 677 | $17.1K | $25.31 | 68.22x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 260 | $5.5K | $21.09 | 128.93x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 1.4K | $1.5K | $1.05 | 6.24x |
This provider submits charges 11 times higher than what Medicare actually pays.
A markup ratio of 11x means for every $100 Medicare pays, this provider initially charges $1100. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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