This provider's $9.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.57x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 116% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% in 2021
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 | $4.8K | $650.70 | 7.35x | $4.1K | $660.2K | 1.4K | 982 |
| 2015 | $6.4K | $870.45 | 7.38x | $5.6K | $857.4K | 1.8K | 1.3K |
| 2016 | $6.8K | $748.49 | 9.03x | $6.0K | $824.7K | 1.9K | 1.4K |
| 2017 | $7.0K | $847.71 | 8.24x | $6.1K | $888.2K | 2.1K | 1.5K |
| 2018 | $6.3K | $771.63 | 8.20x | $5.6K | $882.0K | 1.9K | 1.5K |
| 2019 | $6.1K | $814.42 | 7.50x | $5.3K | $806.1K | 1.7K | 1.3K |
| 2020 | $6.6K | $879.50 | 7.46x | $5.7K | $664.5K | 1.3K | 1.1K |
| 2021 | $6.4K | $1.2K | 5.40x | $5.2K | $1.2M | 1.6K | 1.3K |
| 2022 | $6.0K | $1.1K | 5.60x | $5.0K | $1.3M | 1.6K | 1.4K |
| 2023 | $5.9K | $1.0K | 5.66x | $4.8K | $1.4M | 1.5K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 556 | $1.8M | $3.3K | 3.09x |
| 64721 | Release and/or relocation of median nerve of hand | 1.8K | $1.1M | $614.17 | 7.73x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 439 | $798.8K | $1.8K | 7.88x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 228 | $708.0K | $3.1K | 5.52x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.5K | $677.7K | $267.55 | 7.03x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.6K | $596.9K | $231.98 | 8.11x |
| 62311 | Injections of substances into lower or sacral spine | 1.8K | $516.2K | $279.33 | 6.73x |
| 29881 | Removal of one knee cartilage using an endoscope | 493 | $489.5K | $992.95 | 7.51x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 738 | $431.2K | $584.34 | 5.57x |
| 26055 | Incision of tendon covering | 738 | $349.3K | $473.37 | 9.14x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $320.9K | $245.90 | 7.66x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 96 | $204.8K | $2.1K | 6.66x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 797 | $185.6K | $232.89 | 8.07x |
| 28285 | Correction of toe joint deformity | 286 | $170.1K | $594.77 | 9.35x |
| 29880 | Removal of both knee cartilages using an endoscope | 138 | $136.3K | $987.65 | 7.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 599 | $126.2K | $210.62 | 8.99x |
| 25447 | Removal of bone joints between wrist and fingers | 133 | $111.1K | $835.38 | 12.42x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 13 | $105.8K | $8.1K | 2.18x |
| 28750 | Fusion of big toe at joint with foot | 29 | $101.2K | $3.5K | 2.49x |
| 62310 | Injections of substances into upper or middle spine | 352 | $98.8K | $280.71 | 6.70x |
This provider submits charges 6.57 times higher than what Medicare actually pays.
A markup ratio of 6.57x means for every $100 Medicare pays, this provider initially charges $657. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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