This provider's $21.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.94x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $4.1K | $546.72 | 7.50x | $3.6K | $2.0M | 4.3K | 2.9K |
| 2015 | $4.0K | $580.60 | 6.87x | $3.4K | $1.9M | 4.1K | 2.8K |
| 2016 | $4.0K | $540.78 | 7.35x | $3.4K | $1.9M | 4.2K | 2.9K |
| 2017 | $3.7K | $494.38 | 7.45x | $3.2K | $1.9M | 4.2K | 3.0K |
| 2018 | $3.7K | $504.12 | 7.30x | $3.2K | $2.2M | 4.8K | 3.4K |
| 2019 | $6.5K | $1.2K | 5.23x | $5.2K | $2.8M | 4.9K | 3.5K |
| 2020 | $8.1K | $1.9K | 4.30x | $6.2K | $1.9M | 2.9K | 2.1K |
| 2021 | $4.7K | $672.44 | 6.94x | $4.0K | $1.9M | 3.8K | 2.7K |
| 2022 | $6.4K | $1.3K | 4.95x | $5.1K | $2.1M | 3.8K | 2.8K |
| 2023 | $7.4K | $1.6K | 4.69x | $5.8K | $2.5M | 4.0K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 15.5K | $10.9M | $700.62 | 8.33x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.4K | $1.5M | $233.13 | 9.75x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 68 | $1.1M | $16.5K | 3.49x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.8K | $820.6K | $172.18 | 8.04x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.4K | $737.0K | $219.92 | 10.30x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.5K | $736.1K | $476.75 | 7.59x |
| 66982 | Removal of cataract with insertion of lens | 837 | $591.8K | $707.07 | 8.83x |
| 63655 | Implantation of spinal neurostimulator electrodes | 41 | $483.9K | $11.8K | 1.86x |
| 0191T | Internal insertion of eye fluid drainage device | 291 | $483.8K | $1.7K | 3.51x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.3K | $274.8K | $216.58 | 10.54x |
| 29848 | Release of wrist ligament using an endoscope | 491 | $251.6K | $512.49 | 13.99x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 555 | $235.4K | $424.09 | 8.41x |
| 29881 | Removal of one knee cartilage using an endoscope | 257 | $224.5K | $873.65 | 7.06x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 149 | $217.8K | $1.5K | 4.44x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 817 | $205.9K | $252.03 | 9.17x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 377 | $204.6K | $542.80 | 5.18x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 220 | $194.1K | $882.05 | 7.65x |
| 64721 | Release and/or relocation of median nerve of hand | 330 | $175.4K | $531.42 | 11.98x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 798 | $151.7K | $190.08 | 11.87x |
| 26055 | Incision of tendon covering | 358 | $142.7K | $398.59 | 6.98x |
This provider submits charges 7.94 times higher than what Medicare actually pays.
A markup ratio of 7.94x means for every $100 Medicare pays, this provider initially charges $794. 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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