This provider's $12.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.35x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 3962% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 415% 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 | $6.0K | $800.65 | 7.52x | $5.2K | $78.5K | 98 | 4 |
| 2015 | $13.8K | $1.2K | 11.17x | $12.6K | $404.2K | 327 | 6 |
| 2016 | $23.9K | $2.2K | 10.85x | $21.7K | $533.0K | 242 | 7 |
| 2017 | $22.4K | $1.9K | 11.57x | $20.5K | $530.3K | 274 | 6 |
| 2018 | $27.9K | $2.5K | 11.25x | $25.4K | $738.8K | 298 | 6 |
| 2019 | $26.3K | $2.2K | 11.84x | $24.1K | $650.4K | 293 | 8 |
| 2020 | $40.1K | $3.5K | 11.54x | $36.6K | $1.2M | 356 | 8 |
| 2021 | $46.8K | $4.1K | 11.53x | $42.7K | $1.8M | 443 | 9 |
| 2022 | $55.7K | $4.8K | 11.50x | $50.9K | $3.0M | 627 | 9 |
| 2023 | $56.9K | $5.1K | 11.14x | $51.8K | $3.2M | 624 | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 832 | $5.5M | $6.6K | 11.41x |
| 27446 | Replacement of knee joint on side of knee | 587 | $3.4M | $5.9K | 10.21x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 244 | $1.6M | $6.7K | 12.69x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 284 | $521.1K | $1.8K | 11.62x |
| 29881 | Removal of knee cartilage using an endoscope | 378 | $349.1K | $923.67 | 11.18x |
| 64721 | Release and/or relocation of hand nerve | 478 | $274.1K | $573.38 | 10.71x |
| 29880 | Removal of both knee cartilages using an endoscope | 172 | $154.7K | $899.27 | 11.43x |
| 26055 | Incision of tendon covering of finger | 313 | $124.7K | $398.25 | 15.70x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 53 | $117.7K | $2.2K | 10.07x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 41 | $30.5K | $742.81 | 25.80x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 13 | $22.8K | $1.8K | 13.79x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 43 | $19.3K | $449.63 | 42.63x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 49 | $10.8K | $221.22 | 13.63x |
| 62311 | Injections of substances into lower or sacral spine | 26 | $7.0K | $269.44 | 11.19x |
| 62310 | Injections of substances into upper or middle spine | 18 | $4.9K | $273.34 | 11.03x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 16 | $4.1K | $258.11 | 11.68x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 12 | $3.3K | $273.87 | 11.01x |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 23 | $478.42 | $20.80 | 76.92x |
This provider submits charges 11.35 times higher than what Medicare actually pays.
A markup ratio of 11.35x means for every $100 Medicare pays, this provider initially charges $1135. 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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