This provider's $3.6M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.47x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 80% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $4.9K | $670.62 | 7.31x | $4.2K | $338.0K | 596 | 531 |
| 2020 | $5.8K | $889.70 | 6.52x | $4.9K | $561.8K | 855 | 746 |
| 2021 | $7.8K | $1.1K | 6.86x | $6.7K | $812.0K | 1.0K | 878 |
| 2022 | $10.3K | $2.0K | 5.15x | $8.3K | $1.2M | 1.1K | 927 |
| 2023 | $10.6K | $1.7K | 6.36x | $8.9K | $609.4K | 564 | 491 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint prosthesis | 69 | $490.9K | $7.1K | 6.86x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 65 | $462.8K | $7.1K | 6.85x |
| 64721 | Release and/or relocation of median nerve of hand | 690 | $437.0K | $633.33 | 6.41x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 90 | $324.7K | $3.6K | 4.95x |
| 26055 | Incision of tendon covering | 485 | $236.2K | $487.08 | 7.83x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 12 | $234.4K | $19.5K | 2.56x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 568 | $164.2K | $289.01 | 6.27x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 307 | $160.8K | $523.74 | 8.36x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 81 | $142.1K | $1.8K | 8.02x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 474 | $127.0K | $267.98 | 6.77x |
| 29881 | Removal of one knee cartilage using an endoscope | 84 | $84.8K | $1.0K | 6.56x |
| 26123 | Removal of tissue of palm | 76 | $79.7K | $1.0K | 6.31x |
| 29880 | Removal of both knee cartilages using an endoscope | 59 | $60.6K | $1.0K | 6.44x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 23 | $52.4K | $2.3K | 6.17x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 12 | $45.6K | $3.8K | 6.12x |
| 20680 | Removal of deep bone implant | 58 | $45.5K | $785.11 | 7.00x |
| 25447 | Removal of bone joints between wrist and fingers | 48 | $42.9K | $893.93 | 7.40x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 13 | $41.6K | $3.2K | 6.23x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 150 | $40.4K | $269.37 | 6.72x |
| 25445 | Removal of wrist bone | 12 | $38.1K | $3.2K | 4.43x |
This provider submits charges 6.47 times higher than what Medicare actually pays.
A markup ratio of 6.47x means for every $100 Medicare pays, this provider initially charges $647. 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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