This provider's $14.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.79x 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 | $5.0K | $621.54 | 8.03x | $4.4K | $1.5M | 3.1K | 2.4K |
| 2015 | $4.7K | $585.43 | 8.11x | $4.2K | $1.6M | 3.4K | 2.7K |
| 2016 | $4.6K | $507.53 | 9.14x | $4.1K | $1.4M | 3.3K | 2.6K |
| 2017 | $4.7K | $507.92 | 9.21x | $4.2K | $1.3M | 3.3K | 2.5K |
| 2018 | $4.7K | $496.17 | 9.48x | $4.2K | $1.5M | 3.5K | 2.6K |
| 2019 | $5.5K | $647.59 | 8.56x | $4.9K | $1.5M | 3.6K | 2.7K |
| 2020 | $4.3K | $507.67 | 8.52x | $3.8K | $1.3M | 3.4K | 2.6K |
| 2021 | $4.4K | $514.64 | 8.62x | $3.9K | $1.4M | 3.7K | 2.8K |
| 2022 | $5.3K | $790.43 | 6.73x | $4.5K | $1.5M | 3.1K | 2.4K |
| 2023 | $5.4K | $777.44 | 6.89x | $4.6K | $1.7M | 3.3K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.9K | $2.8M | $728.08 | 5.05x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.9K | $1.2M | $238.91 | 7.93x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 553 | $1.1M | $2.0K | 6.60x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.7K | $1.0M | $221.09 | 6.79x |
| 64721 | Release and/or relocation of median nerve of hand | 1.7K | $975.8K | $569.64 | 5.89x |
| 26055 | Incision of tendon covering | 1.6K | $687.1K | $422.59 | 14.20x |
| 29848 | Release of wrist ligament using an endoscope | 1.0K | $554.0K | $538.40 | 14.44x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $533.0K | $273.19 | 6.94x |
| 62311 | Injections of substances into lower or sacral spine | 1.6K | $414.3K | $261.24 | 5.74x |
| 27447 | Replacement of knee joint, both sides of knee | 53 | $373.3K | $7.0K | 3.22x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 672 | $362.5K | $539.39 | 7.04x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 965 | $348.4K | $361.07 | 4.78x |
| 26480 | Transplant of tendon of hand | 424 | $335.0K | $790.03 | 9.36x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 678 | $293.8K | $433.27 | 7.75x |
| 25447 | Removal of bone joints between wrist and fingers | 419 | $292.5K | $698.10 | 18.93x |
| 29881 | Removal of one knee cartilage using an endoscope | 292 | $278.0K | $952.00 | 5.53x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 394 | $265.7K | $674.43 | 19.28x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 640 | $232.6K | $363.45 | 5.81x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 902 | $210.8K | $233.71 | 6.42x |
| 29880 | Removal of both knee cartilages using an endoscope | 220 | $205.3K | $933.19 | 5.64x |
This provider submits charges 7.79 times higher than what Medicare actually pays.
A markup ratio of 7.79x means for every $100 Medicare pays, this provider initially charges $779. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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