This provider's $14.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.44x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 400% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 390% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $15.0K | $1.5K | 10.08x | $13.5K | $535.2K | 269 | 243 |
| 2015 | $15.4K | $1.4K | 10.98x | $14.0K | $448.0K | 346 | 307 |
| 2016 | $13.2K | $1.2K | 10.98x | $12.0K | $558.5K | 451 | 383 |
| 2017 | $11.2K | $896.88 | 12.45x | $10.3K | $438.4K | 557 | 475 |
| 2018 | $12.6K | $1.1K | 11.39x | $11.5K | $435.7K | 514 | 446 |
| 2019 | $11.2K | $986.24 | 11.35x | $10.2K | $487.9K | 592 | 526 |
| 2020 | $17.6K | $1.7K | 10.08x | $15.8K | $2.4M | 1.1K | 946 |
| 2021 | $27.9K | $2.8K | 10.02x | $25.2K | $2.9M | 1.2K | 1.1K |
| 2022 | $27.6K | $2.5K | 11.00x | $25.1K | $3.2M | 1.1K | 1.0K |
| 2023 | $30.4K | $2.5K | 12.20x | $27.9K | $2.7M | 905 | 801 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 871 | $5.9M | $6.7K | 11.79x |
| 27446 | Repair of knee joint | 761 | $4.7M | $6.2K | 9.95x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 344 | $2.4M | $6.9K | 13.25x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 149 | $554.3K | $3.7K | 4.80x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 395 | $121.9K | $308.61 | 10.41x |
| 27570 | Alignment of knee joint under anesthesia | 219 | $116.0K | $529.49 | 9.97x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 470 | $103.9K | $220.97 | 13.81x |
| 62311 | Injections of substances into lower or sacral spine | 229 | $60.4K | $263.88 | 10.39x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 23 | $45.9K | $2.0K | 10.86x |
| 29881 | Removal of one knee cartilage using an endoscope | 43 | $40.8K | $949.48 | 10.30x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 22 | $34.1K | $1.5K | 14.24x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.5K | $29.6K | $19.78 | 135.40x |
| 76000 | Imaging guidance for procedure, up to 1 hour | 410 | $10.8K | $26.24 | 61.07x |
| 64721 | Release and/or relocation of median nerve of hand | 14 | $7.2K | $516.24 | 11.82x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 1.5K | $1.5K | $1.06 | 6.21x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 76 | $1.4K | $17.82 | 149.52x |
| 20550 | Injection into tendon or ligament | 34 | $687.47 | $20.22 | 148.69x |
This provider submits charges 11.44 times higher than what Medicare actually pays.
A markup ratio of 11.44x means for every $100 Medicare pays, this provider initially charges $1144. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cei Physicians Psc Llc | Blue Ash, OH | $43.6M | โ Clear |
| The Urology Center Llc | Cincinnati, OH | $37.6M | โ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | โ Clear |
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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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