This provider's $4.6M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.86x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 336% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 539% in 2021
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 | $2.5K | $574.22 | 4.27x | $1.9K | $279.2K | 401 | 280 |
| 2015 | $2.5K | $566.21 | 4.33x | $1.9K | $200.0K | 305 | 226 |
| 2016 | $3.1K | $600.47 | 5.19x | $2.5K | $220.7K | 334 | 261 |
| 2017 | $4.4K | $785.57 | 5.61x | $3.6K | $327.9K | 435 | 378 |
| 2018 | $4.9K | $879.86 | 5.60x | $4.0K | $238.9K | 297 | 261 |
| 2019 | $4.9K | $735.90 | 6.72x | $4.2K | $177.5K | 264 | 247 |
| 2020 | $4.8K | $739.51 | 6.50x | $4.1K | $138.4K | 226 | 212 |
| 2021 | $13.7K | $2.3K | 5.95x | $11.4K | $884.8K | 421 | 383 |
| 2022 | $17.8K | $3.3K | 5.48x | $14.5K | $935.5K | 398 | 377 |
| 2023 | $18.6K | $3.5K | 5.29x | $15.0K | $1.2M | 405 | 384 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 58 | $1.1M | $18.3K | 4.44x |
| 66984 | Removal of cataract with insertion of lens | 902 | $680.6K | $754.56 | 7.12x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 108 | $624.6K | $5.8K | 4.86x |
| 64582 | Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode | 25 | $500.6K | $20.0K | 4.31x |
| 64721 | Release and/or relocation of median nerve of hand | 604 | $369.9K | $612.37 | 6.86x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 146 | $230.9K | $1.6K | 5.29x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 55 | $195.0K | $3.5K | 10.60x |
| 26055 | Incision of tendon covering | 362 | $177.1K | $489.15 | 6.90x |
| 28285 | Correction of toe joint deformity | 172 | $115.8K | $672.97 | 6.39x |
| 50590 | Shock wave crushing of kidney stones | 101 | $115.7K | $1.1K | 7.89x |
| 26160 | Removal of growth of tendon finger or hand | 186 | $101.9K | $547.75 | 5.32x |
| 29881 | Removal of one knee cartilage using an endoscope | 75 | $73.2K | $975.49 | 5.72x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 65 | $65.6K | $1.0K | 4.74x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 67 | $55.3K | $825.28 | 6.97x |
| 20680 | Removal of deep bone implant | 57 | $45.8K | $803.33 | 4.94x |
| 29880 | Removal of both knee cartilages using an endoscope | 36 | $35.3K | $980.97 | 8.17x |
| 28270 | Incision of joint capsule of foot and toe | 66 | $34.5K | $522.93 | 8.70x |
| 74420 | Imaging of urinary tract | 200 | $30.9K | $154.48 | 7.34x |
| 25447 | Removal of bone joints between wrist and fingers | 24 | $24.6K | $1.0K | 7.28x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 11 | $15.4K | $1.4K | 4.87x |
This provider submits charges 5.86 times higher than what Medicare actually pays.
A markup ratio of 5.86x means for every $100 Medicare pays, this provider initially charges $586. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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