This provider's $4.1M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.6x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 106% 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 | $3.7K | $791.33 | 4.70x | $2.9K | $271.3K | 503 | 439 |
| 2015 | $3.3K | $639.97 | 5.10x | $2.6K | $333.8K | 888 | 699 |
| 2016 | $3.0K | $553.10 | 5.45x | $2.5K | $349.4K | 986 | 755 |
| 2017 | $3.4K | $660.78 | 5.19x | $2.8K | $386.2K | 1.1K | 795 |
| 2018 | $3.3K | $656.35 | 5.09x | $2.7K | $433.6K | 1.1K | 859 |
| 2019 | $2.8K | $581.07 | 4.89x | $2.3K | $398.2K | 1.0K | 818 |
| 2020 | $3.0K | $674.88 | 4.43x | $2.3K | $449.0K | 1.0K | 809 |
| 2021 | $3.4K | $656.29 | 5.19x | $2.8K | $435.4K | 1.0K | 824 |
| 2022 | $6.2K | $1.5K | 4.26x | $4.7K | $500.4K | 571 | 512 |
| 2023 | $5.0K | $1.2K | 4.26x | $3.8K | $559.4K | 671 | 610 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 1.4K | $810.1K | $596.12 | 4.95x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $732.0K | $245.07 | 6.77x |
| 26055 | Incision of tendon covering | 696 | $330.1K | $474.28 | 6.42x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 182 | $327.9K | $1.8K | 3.54x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 150 | $308.0K | $2.1K | 2.92x |
| 29881 | Removal of one knee cartilage using an endoscope | 245 | $241.4K | $985.12 | 4.47x |
| 25447 | Removal of bone joints between wrist and fingers | 299 | $223.9K | $748.72 | 6.17x |
| 26480 | Transplant of tendon of hand | 170 | $171.8K | $1.0K | 4.31x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 205 | $136.0K | $663.19 | 7.46x |
| 29880 | Removal of both knee cartilages using an endoscope | 128 | $125.9K | $983.80 | 4.47x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 34 | $115.4K | $3.4K | 2.80x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 480 | $111.3K | $231.80 | 8.15x |
| 27447 | Replacement of knee joint, both sides of knee | 12 | $84.6K | $7.0K | 3.55x |
| 25310 | Relocation of tendon of forearm and/or wrist | 147 | $79.3K | $539.18 | 7.14x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 331 | $78.8K | $238.19 | 7.08x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 123 | $49.4K | $401.77 | 8.72x |
| 26160 | Removal of growth of tendon finger or hand | 88 | $45.8K | $519.89 | 6.26x |
| 25607 | Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device | 11 | $37.3K | $3.4K | 2.80x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 77 | $36.4K | $473.31 | 10.46x |
| 20680 | Removal of deep bone implant | 26 | $19.7K | $757.07 | 4.58x |
This provider submits charges 5.6 times higher than what Medicare actually pays.
A markup ratio of 5.6x means for every $100 Medicare pays, this provider initially charges $560. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data