This provider's $3.4M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.3x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 134% from 2014 to 2023.
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 | $4.1K | $630.05 | 6.49x | $3.5K | $263.0K | 531 | 502 |
| 2015 | $3.2K | $571.12 | 5.60x | $2.6K | $211.3K | 485 | 462 |
| 2016 | $3.4K | $543.83 | 6.23x | $2.8K | $259.6K | 562 | 517 |
| 2017 | $4.8K | $719.97 | 6.66x | $4.1K | $242.7K | 390 | 353 |
| 2018 | $4.9K | $769.12 | 6.34x | $4.1K | $262.7K | 408 | 369 |
| 2019 | $4.9K | $723.84 | 6.76x | $4.2K | $285.7K | 453 | 404 |
| 2020 | $5.0K | $797.89 | 6.29x | $4.2K | $314.5K | 559 | 538 |
| 2021 | $4.7K | $743.63 | 6.35x | $4.0K | $444.0K | 825 | 779 |
| 2022 | $4.5K | $694.78 | 6.49x | $3.8K | $487.3K | 1.1K | 1.0K |
| 2023 | $5.3K | $781.66 | 6.78x | $4.5K | $616.3K | 1.2K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 828 | $625.9K | $755.95 | 5.37x |
| 45380 | Biopsy of large bowel using an endoscope | 933 | $290.1K | $310.96 | 5.84x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.4K | $288.7K | $210.29 | 6.72x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 666 | $252.6K | $379.28 | 5.89x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 175 | $243.9K | $1.4K | 5.90x |
| 67042 | Removal of membrane from the retina, pars plana approach | 167 | $227.4K | $1.4K | 9.12x |
| 67041 | Removal of membrane from the retina | 161 | $220.7K | $1.4K | 9.22x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 172 | $171.7K | $998.52 | 5.14x |
| 49505 | Repair of groin hernia patient age 5 years or older | 152 | $142.3K | $935.96 | 5.13x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 81 | $113.7K | $1.4K | 7.49x |
| 47562 | Removal of gallbladder using an endoscope | 66 | $110.6K | $1.7K | 4.06x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 349 | $83.9K | $240.34 | 6.48x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 95 | $73.1K | $769.10 | 5.27x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 210 | $66.8K | $317.99 | 6.92x |
| 64721 | Release and/or relocation of hand nerve | 103 | $65.2K | $632.78 | 5.99x |
| 43249 | Balloon dilation of esophagus, stomach and upper small bowel using a flexible endoscope | 104 | $56.2K | $540.21 | 3.32x |
| 30520 | Reshaping of nasal cartilage | 91 | $53.8K | $591.50 | 7.65x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 190 | $45.2K | $237.89 | 4.12x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 40 | $38.7K | $966.89 | 5.18x |
| 26055 | Incision of tendon covering of finger | 63 | $31.3K | $497.13 | 11.71x |
This provider submits charges 6.3 times higher than what Medicare actually pays.
A markup ratio of 6.3x means for every $100 Medicare pays, this provider initially charges $630. 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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