This provider's $8.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1206% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 175% in 2019
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 | $3.1K | $806.81 | 3.86x | $2.3K | $169.9K | 230 | 213 |
| 2015 | $3.7K | $956.38 | 3.89x | $2.8K | $181.5K | 220 | 211 |
| 2016 | $4.6K | $916.61 | 4.98x | $3.6K | $202.3K | 235 | 218 |
| 2017 | $4.5K | $835.77 | 5.34x | $3.6K | $179.5K | 210 | 198 |
| 2018 | $5.0K | $1.2K | 4.37x | $3.9K | $263.4K | 285 | 267 |
| 2019 | $7.1K | $1.7K | 4.30x | $5.5K | $724.1K | 630 | 596 |
| 2020 | $7.2K | $1.6K | 4.41x | $5.6K | $1.1M | 583 | 569 |
| 2021 | $8.1K | $2.0K | 4.01x | $6.1K | $1.6M | 536 | 523 |
| 2022 | $10.7K | $2.3K | 4.61x | $8.3K | $2.0M | 499 | 490 |
| 2023 | $10.7K | $2.2K | 4.88x | $8.5K | $2.2M | 538 | 522 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 494 | $3.6M | $7.3K | 4.16x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 195 | $1.4M | $7.4K | 4.20x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 401 | $833.6K | $2.1K | 4.99x |
| 64721 | Release and/or relocation of median nerve of hand | 567 | $331.6K | $584.92 | 4.83x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 96 | $322.1K | $3.4K | 3.37x |
| 29881 | Removal of one knee cartilage using an endoscope | 296 | $309.2K | $1.0K | 4.54x |
| 28750 | Fusion of great toe | 73 | $240.9K | $3.3K | 3.44x |
| 26055 | Incision of tendon covering | 442 | $213.9K | $483.97 | 4.86x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 60 | $202.4K | $3.4K | 3.30x |
| 29880 | Removal of both knee cartilages using an endoscope | 176 | $181.7K | $1.0K | 4.56x |
| 20680 | Removal of deep bone implant | 200 | $167.2K | $836.02 | 4.97x |
| 25447 | Removal of bone joints between wrist and fingers | 192 | $160.8K | $837.59 | 6.19x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 160 | $103.0K | $643.99 | 8.33x |
| 27446 | Repair of knee joint | 13 | $83.2K | $6.4K | 4.24x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 24 | $79.7K | $3.3K | 3.20x |
| 26123 | Removal of tissue of palm | 65 | $68.7K | $1.1K | 5.08x |
| 26160 | Removal of growth of tendon finger or hand | 132 | $67.5K | $511.00 | 4.50x |
| 26480 | Transplant of tendon of hand | 59 | $59.9K | $1.0K | 4.99x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 98 | $46.5K | $474.00 | 6.44x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 17 | $39.8K | $2.3K | 5.16x |
This provider submits charges 4.41 times higher than what Medicare actually pays.
A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. 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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