This provider's $14.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.22x is significantly above the specialty median of 6.1x.
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 | $6.0K | $678.75 | 8.85x | $5.3K | $1.4M | 2.0K | 1.7K |
| 2015 | $6.6K | $802.03 | 8.25x | $5.8K | $1.6M | 2.2K | 1.8K |
| 2016 | $6.7K | $803.90 | 8.35x | $5.9K | $1.7M | 2.3K | 2.0K |
| 2017 | $6.5K | $785.24 | 8.22x | $5.7K | $1.6M | 2.2K | 1.9K |
| 2018 | $6.4K | $786.57 | 8.08x | $5.6K | $1.6M | 2.2K | 1.9K |
| 2019 | $6.5K | $792.86 | 8.19x | $5.7K | $1.6M | 2.3K | 1.8K |
| 2020 | $7.0K | $801.69 | 8.79x | $6.2K | $1.0M | 1.4K | 1.2K |
| 2021 | $7.5K | $856.08 | 8.79x | $6.7K | $1.3M | 1.6K | 1.3K |
| 2022 | $7.9K | $985.31 | 7.99x | $6.9K | $1.4M | 1.7K | 1.4K |
| 2023 | $7.6K | $892.53 | 8.51x | $6.7K | $1.4M | 1.8K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.3K | $8.2M | $880.32 | 7.84x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 274 | $628.4K | $2.3K | 6.97x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.8K | $589.5K | $214.14 | 7.36x |
| 29848 | Release of wrist ligament using an endoscope | 864 | $555.4K | $642.83 | 12.97x |
| 64721 | Release and/or relocation of median nerve of hand | 677 | $460.3K | $679.85 | 7.79x |
| 29876 | Removal of joint lining from two or more knee joint compartments using an endoscope | 504 | $428.2K | $849.57 | 9.81x |
| 29881 | Removal of one knee cartilage using an endoscope | 362 | $411.2K | $1.1K | 7.85x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 288 | $299.8K | $1.0K | 6.19x |
| 66982 | Removal of cataract with insertion of lens | 305 | $267.4K | $876.61 | 7.87x |
| 26055 | Incision of tendon covering | 401 | $225.6K | $562.49 | 8.56x |
| 49505 | Repair of groin hernia patient age 5 years or older | 180 | $215.4K | $1.2K | 7.67x |
| 0191T | Internal insertion of eye fluid drainage device | 83 | $195.8K | $2.4K | 5.15x |
| 45380 | Biopsy of large bowel using an endoscope | 492 | $194.9K | $396.05 | 9.94x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 477 | $193.0K | $404.58 | 9.73x |
| 26123 | Removal of tissue of palm | 156 | $180.6K | $1.2K | 7.21x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 561 | $163.9K | $292.12 | 12.82x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 334 | $137.2K | $410.73 | 8.51x |
| 29880 | Removal of both knee cartilages using an endoscope | 124 | $134.7K | $1.1K | 8.02x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 85 | $126.2K | $1.5K | 7.74x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 175 | $95.4K | $544.86 | 12.93x |
This provider submits charges 8.22 times higher than what Medicare actually pays.
A markup ratio of 8.22x means for every $100 Medicare pays, this provider initially charges $822. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| West Suburban Eye Surgery Center Llc | Waltham, MA | $37.4M | ✓ 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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