This provider's $14.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.88x 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 | $4.9K | $678.14 | 7.29x | $4.3K | $1.2M | 1.9K | 1.7K |
| 2015 | $5.1K | $845.84 | 6.03x | $4.3K | $1.3M | 2.0K | 1.7K |
| 2016 | $5.3K | $809.14 | 6.52x | $4.5K | $1.2M | 2.0K | 1.7K |
| 2017 | $6.8K | $1.4K | 4.79x | $5.4K | $1.5M | 2.3K | 1.9K |
| 2018 | $5.9K | $747.18 | 7.84x | $5.1K | $1.4M | 2.4K | 2.0K |
| 2019 | $6.7K | $1.2K | 5.82x | $5.6K | $1.7M | 2.7K | 2.3K |
| 2020 | $8.3K | $1.4K | 5.89x | $6.9K | $1.5M | 2.0K | 1.7K |
| 2021 | $8.3K | $1.4K | 5.75x | $6.9K | $1.5M | 1.8K | 1.6K |
| 2022 | $8.9K | $2.0K | 4.40x | $6.9K | $1.6M | 1.8K | 1.5K |
| 2023 | $6.0K | $1.1K | 5.69x | $4.9K | $1.2M | 1.6K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29880 | Removal of both knee cartilages using an endoscope | 1.9K | $2.0M | $1.0K | 6.70x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 697 | $1.6M | $2.3K | 5.68x |
| 29879 | Repair of knee joint using an endoscope | 1.9K | $1.0M | $531.89 | 12.89x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 1.5K | $964.6K | $658.91 | 11.31x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 1.1K | $935.9K | $827.52 | 9.69x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.4K | $922.6K | $269.76 | 9.05x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 314 | $682.2K | $2.2K | 5.03x |
| 29873 | Release of ligaments at outer aspect of knee joint using an endoscope | 1.1K | $581.2K | $550.41 | 11.38x |
| 29876 | Removal of joint lining from two or more knee joint compartments using an endoscope | 942 | $570.1K | $605.22 | 12.94x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 280 | $503.1K | $1.8K | 5.63x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 26 | $451.3K | $17.4K | 1.88x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 698 | $427.5K | $612.45 | 4.05x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $408.2K | $275.23 | 8.93x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 43 | $405.6K | $9.4K | 2.21x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 113 | $405.0K | $3.6K | 1.79x |
| 27447 | Repair of knee joint | 47 | $358.4K | $7.6K | 5.90x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.1K | $272.3K | $256.90 | 13.43x |
| 23430 | Anchoring of biceps tendon | 95 | $244.1K | $2.6K | 3.52x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 560 | $154.5K | $275.82 | 8.79x |
| 62311 | Injections of substances into lower or sacral spine | 506 | $149.5K | $295.44 | 7.65x |
This provider submits charges 7.88 times higher than what Medicare actually pays.
A markup ratio of 7.88x means for every $100 Medicare pays, this provider initially charges $788. 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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