This provider's $15.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3213% in 2023
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 | $3.8K | $738.25 | 5.10x | $3.0K | $1.2M | 2.1K | 1.3K |
| 2015 | $3.5K | $672.15 | 5.23x | $2.8K | $1.1M | 2.0K | 1.3K |
| 2016 | $5.4K | $1.6K | 3.41x | $3.8K | $1.9M | 2.4K | 1.6K |
| 2017 | $5.3K | $1.6K | 3.32x | $3.7K | $2.5M | 2.4K | 1.7K |
| 2018 | $4.4K | $1.2K | 3.65x | $3.2K | $2.4M | 2.4K | 1.7K |
| 2019 | $5.4K | $1.8K | 3.03x | $3.6K | $2.8M | 2.2K | 1.5K |
| 2020 | $5.9K | $2.1K | 2.86x | $3.9K | $2.0M | 1.4K | 1.0K |
| 2021 | $4.3K | $748.07 | 5.79x | $3.6K | $49.4K | 66 | 49 |
| 2023 | $8.5K | $1.9K | 4.40x | $6.6K | $1.6M | 1.0K | 698 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.9K | $4.2M | $711.82 | 6.37x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 220 | $2.8M | $12.6K | 2.19x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 405 | $1.9M | $4.8K | 2.54x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 54 | $897.9K | $16.6K | 2.31x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 239 | $812.6K | $3.4K | 3.60x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 154 | $540.8K | $3.5K | 2.04x |
| 29880 | Removal of both knee cartilages using an endoscope | 365 | $326.5K | $894.46 | 5.95x |
| 62311 | Injections of substances into lower or sacral spine | 1.2K | $311.0K | $255.15 | 6.72x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.1K | $254.7K | $236.96 | 11.39x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 131 | $234.1K | $1.8K | 3.03x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 442 | $218.1K | $493.34 | 5.59x |
| 55700 | Biopsy of prostate gland | 386 | $216.0K | $559.67 | 3.60x |
| 29848 | Release of wrist ligament using an endoscope | 299 | $178.7K | $597.76 | 7.18x |
| 0191T | Internal insertion of eye fluid drainage device | 88 | $174.7K | $2.0K | 2.94x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 233 | $164.2K | $704.81 | 7.69x |
| 29881 | Removal of one knee cartilage using an endoscope | 156 | $142.3K | $911.87 | 5.65x |
| 26055 | Incision of tendon covering | 301 | $129.2K | $429.13 | 6.07x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 198 | $125.5K | $634.03 | 8.55x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 92 | $117.1K | $1.3K | 4.26x |
| 62310 | Injections of substances into upper or middle spine | 421 | $108.5K | $257.79 | 9.99x |
This provider submits charges 4.5 times higher than what Medicare actually pays.
A markup ratio of 4.5x means for every $100 Medicare pays, this provider initially charges $450. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mcgee Eye Surgery Center Llc | Oklahoma City, OK | $36.4M | ✓ 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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