This provider's $13.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 14.31x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 193% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% 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 | $8.5K | $888.96 | 9.55x | $7.6K | $848.2K | 964 | 919 |
| 2015 | $9.1K | $952.98 | 9.60x | $8.2K | $1.0M | 1.2K | 1.2K |
| 2016 | $9.4K | $828.18 | 11.37x | $8.6K | $1.1M | 1.4K | 1.3K |
| 2017 | $11.1K | $1.0K | 10.74x | $10.0K | $1.2M | 1.5K | 1.4K |
| 2018 | $11.2K | $906.99 | 12.36x | $10.3K | $1.1M | 1.4K | 1.3K |
| 2019 | $12.6K | $1.1K | 11.34x | $11.5K | $1.3M | 1.5K | 1.4K |
| 2020 | $15.0K | $1.3K | 11.80x | $13.8K | $1.4M | 1.6K | 1.5K |
| 2021 | $16.2K | $1.2K | 13.24x | $15.0K | $1.1M | 1.2K | 1.2K |
| 2022 | $22.8K | $1.8K | 12.81x | $21.0K | $1.6M | 1.2K | 1.2K |
| 2023 | $21.9K | $1.6K | 13.80x | $20.3K | $2.5M | 1.6K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.4K | $2.8M | $1.9K | 8.89x |
| 29848 | Release of wrist ligament using an endoscope | 2.1K | $1.2M | $577.01 | 25.99x |
| 27447 | Replacement of knee joint, both sides of knee | 127 | $881.1K | $6.9K | 10.57x |
| 27446 | Repair of knee joint | 120 | $776.1K | $6.5K | 9.34x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 250 | $740.4K | $3.0K | 4.57x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 970 | $668.8K | $689.45 | 21.79x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 96 | $645.3K | $6.7K | 10.79x |
| 29881 | Removal of one knee cartilage using an endoscope | 675 | $644.0K | $954.05 | 15.38x |
| 26055 | Incision of tendon covering | 1.5K | $630.3K | $430.52 | 18.73x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 938 | $538.0K | $573.60 | 26.59x |
| 25447 | Removal of bone joints between wrist and fingers | 543 | $444.8K | $819.07 | 21.32x |
| 29880 | Removal of both knee cartilages using an endoscope | 416 | $398.8K | $958.65 | 15.47x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 221 | $395.3K | $1.8K | 7.58x |
| 64721 | Release and/or relocation of median nerve of hand | 633 | $348.2K | $550.02 | 13.92x |
| 26123 | Removal of tissue of palm | 353 | $346.0K | $980.05 | 15.44x |
| 26160 | Removal of growth of tendon finger or hand | 477 | $241.0K | $505.18 | 19.78x |
| 26480 | Transplant of tendon of hand | 232 | $225.0K | $969.67 | 12.64x |
| 20680 | Removal of deep bone implant | 279 | $211.4K | $757.54 | 13.25x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 60 | $162.8K | $2.7K | 5.03x |
| 23430 | Anchoring of biceps tendon | 88 | $153.7K | $1.7K | 9.12x |
This provider submits charges 14.31 times higher than what Medicare actually pays.
A markup ratio of 14.31x means for every $100 Medicare pays, this provider initially charges $1431. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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