This provider's $38.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 520% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 99% in 2015
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 | $2.8K | $619.87 | 4.52x | $2.2K | $973.2K | 1.6K | 21 |
| 2015 | $4.6K | $1.2K | 3.84x | $3.4K | $1.9M | 1.6K | 20 |
| 2016 | $4.7K | $1.2K | 3.96x | $3.5K | $1.9M | 1.6K | 25 |
| 2017 | $6.6K | $1.9K | 3.49x | $4.7K | $3.6M | 1.9K | 28 |
| 2018 | $6.2K | $1.8K | 3.54x | $4.5K | $3.8M | 2.2K | 29 |
| 2019 | $5.7K | $1.5K | 3.70x | $4.1K | $3.7M | 2.4K | 28 |
| 2020 | $7.8K | $2.2K | 3.63x | $5.7K | $4.1M | 1.9K | 27 |
| 2021 | $9.3K | $2.6K | 3.51x | $6.7K | $6.0M | 2.3K | 29 |
| 2022 | $9.6K | $2.8K | 3.42x | $6.8K | $6.7M | 2.4K | 33 |
| 2023 | $8.2K | $2.4K | 3.46x | $5.8K | $6.0M | 2.6K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 407 | $7.6M | $18.7K | 3.32x |
| 27447 | Replacement of knee joint, both sides of knee | 861 | $6.4M | $7.4K | 3.35x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.4K | $5.3M | $3.8K | 2.26x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 315 | $2.3M | $7.3K | 3.63x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 820 | $1.3M | $1.6K | 3.97x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 520 | $1.2M | $2.3K | 2.69x |
| 27446 | Replacement of knee joint on side of knee | 169 | $1.1M | $6.6K | 2.74x |
| 29881 | Removal of knee cartilage using an endoscope | 1.1K | $1.1M | $1.0K | 3.46x |
| 29848 | Release of wrist ligament using an endoscope | 1.6K | $1.0M | $625.86 | 8.66x |
| 29880 | Removal of both knee cartilages using an endoscope | 803 | $859.1K | $1.1K | 3.76x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 40 | $851.7K | $21.3K | 1.28x |
| 23412 | Repair of torn tendons of shoulder (rotator cuff), open procedure, chronic or old | 399 | $741.7K | $1.9K | 3.13x |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 107 | $740.7K | $6.9K | 2.67x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 2.4K | $720.1K | $294.40 | 4.73x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 900 | $624.7K | $694.08 | 9.05x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.0K | $536.2K | $525.67 | 5.36x |
| 26055 | Incision of tendon covering of finger | 1.0K | $484.0K | $461.79 | 5.00x |
| 25608 | Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 125 | $428.2K | $3.4K | 2.42x |
| 27279 | Fusion of pelvic joint using imaging guidance | 36 | $397.7K | $11.0K | 2.50x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 121 | $390.0K | $3.2K | 2.53x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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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