This provider's $5.9M in total Medicare payments ranks in the 94th 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.
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 | $1.3K | $535.72 | 2.45x | $778.43 | $646.4K | 920 | 858 |
| 2015 | $1.4K | $659.93 | 2.19x | $787.20 | $714.5K | 967 | 890 |
| 2016 | $1.5K | $573.54 | 2.60x | $915.09 | $657.7K | 1.1K | 1.0K |
| 2017 | $1.5K | $532.48 | 2.90x | $1.0K | $481.1K | 936 | 839 |
| 2018 | $1.5K | $561.46 | 2.64x | $922.64 | $551.6K | 1.0K | 938 |
| 2019 | $1.8K | $694.99 | 2.64x | $1.1K | $571.9K | 1.0K | 962 |
| 2020 | $1.9K | $778.80 | 2.42x | $1.1K | $507.9K | 865 | 793 |
| 2021 | $2.4K | $950.30 | 2.57x | $1.5K | $625.3K | 1.0K | 919 |
| 2022 | $1.7K | $592.67 | 2.90x | $1.1K | $586.7K | 1.0K | 929 |
| 2023 | $1.9K | $660.82 | 2.85x | $1.2K | $599.7K | 1.1K | 938 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29848 | Release of wrist ligament using an endoscope | 3.7K | $2.2M | $590.37 | 3.18x |
| 26055 | Incision of tendon covering | 2.0K | $889.2K | $443.29 | 2.73x |
| 26480 | Transplant of tendon of hand | 757 | $585.2K | $773.06 | 2.53x |
| 25447 | Removal of bone joints between wrist and fingers | 770 | $574.1K | $745.63 | 3.61x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 656 | $339.1K | $516.91 | 2.52x |
| 26123 | Removal of tissue of palm | 319 | $299.5K | $938.83 | 1.97x |
| 26160 | Removal of growth of tendon finger or hand | 548 | $280.2K | $511.29 | 2.49x |
| 64721 | Release and/or relocation of median nerve of hand | 238 | $125.2K | $525.90 | 2.36x |
| 26860 | Fusion of finger joint | 133 | $123.5K | $928.47 | 2.49x |
| 20680 | Removal of deep bone implant | 159 | $122.3K | $768.90 | 2.12x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 29 | $93.2K | $3.2K | 1.91x |
| 26116 | Removal (less than 1.5 centimeters) muscle growth of hand or finger | 198 | $84.4K | $426.01 | 2.48x |
| 25000 | Incision to repair tendon covering at wrist | 128 | $63.1K | $492.74 | 2.64x |
| 26531 | Repair of joint of hand bone and finger | 22 | $58.1K | $2.6K | 2.31x |
| 25111 | Removal of cyst at wrist | 75 | $39.8K | $530.76 | 2.45x |
| 25210 | Removal of wrist bone | 64 | $37.6K | $588.01 | 3.91x |
| 26115 | Removal (less than 1.5 centimeters) tissue beneath the skin growth of hand or finger | 52 | $21.9K | $421.21 | 2.50x |
| 24305 | Lengthening of tendon of upper arm or elbow | 14 | $14.0K | $998.80 | 2.35x |
| 25310 | Relocation of tendon of forearm and/or wrist | 16 | $11.4K | $712.07 | 3.30x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 11 | $6.9K | $624.72 | 1.92x |
This provider submits charges 2.86 times higher than what Medicare actually pays.
A markup ratio of 2.86x means for every $100 Medicare pays, this provider initially charges $286. 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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