This provider's $8.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 294% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2018
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 | $2.2K | $774.95 | 2.85x | $1.4K | $371.8K | 543 | 384 |
| 2015 | $4.1K | $771.71 | 5.31x | $3.3K | $340.6K | 514 | 340 |
| 2016 | $3.7K | $692.06 | 5.40x | $3.0K | $374.6K | 585 | 413 |
| 2017 | $3.3K | $592.85 | 5.49x | $2.7K | $393.0K | 688 | 487 |
| 2018 | $5.0K | $1.2K | 4.29x | $3.8K | $649.5K | 818 | 552 |
| 2019 | $4.3K | $900.12 | 4.75x | $3.4K | $802.3K | 1.2K | 830 |
| 2020 | $6.3K | $1.2K | 5.19x | $5.1K | $1.1M | 1.6K | 1.1K |
| 2021 | $7.3K | $1.5K | 5.02x | $5.9K | $1.5M | 2.1K | 1.4K |
| 2022 | $8.4K | $1.5K | 5.51x | $6.9K | $1.6M | 2.1K | 1.4K |
| 2023 | $9.4K | $1.7K | 5.49x | $7.7K | $1.5M | 1.9K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.6K | $3.9M | $699.91 | 4.35x |
| 27446 | Repair of knee joint | 200 | $1.2M | $5.9K | 3.61x |
| 27447 | Repair of knee joint | 171 | $1.1M | $6.4K | 5.57x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 55 | $352.5K | $6.4K | 5.80x |
| 0191T | Internal insertion of eye fluid drainage device | 147 | $284.0K | $1.9K | 2.61x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2.9K | $227.9K | $79.23 | 3.35x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 83 | $194.8K | $2.3K | 6.43x |
| 29848 | Release of wrist ligament using an endoscope | 317 | $178.6K | $563.41 | 6.11x |
| 28750 | Fusion of great toe at the joint with the foot | 50 | $154.1K | $3.1K | 6.35x |
| 23420 | Repair of torn shoulder tendons | 75 | $127.6K | $1.7K | 4.14x |
| 25447 | Removal of bone joints between wrist and fingers | 160 | $118.3K | $739.47 | 6.08x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 310 | $114.9K | $370.54 | 1.40x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 67 | $108.6K | $1.6K | 5.01x |
| 29881 | Removal of one knee cartilage using an endoscope | 95 | $89.0K | $937.03 | 4.29x |
| 26480 | Transplant of tendon of hand | 74 | $61.9K | $836.14 | 4.60x |
| 28285 | Correction of toe joint deformity | 88 | $48.2K | $547.34 | 6.13x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 205 | $47.5K | $231.84 | 6.36x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 27 | $46.1K | $1.7K | 4.86x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 98 | $44.1K | $449.81 | 6.63x |
| 25310 | Relocation of tendon of forearm and/or wrist | 80 | $36.5K | $456.76 | 10.44x |
This provider submits charges 4.65 times higher than what Medicare actually pays.
A markup ratio of 4.65x means for every $100 Medicare pays, this provider initially charges $465. 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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