This provider's $5.6M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 16.62x 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 | $9.1K | $783.06 | 11.67x | $8.4K | $593.9K | 916 | 871 |
| 2015 | $9.1K | $750.33 | 12.11x | $8.3K | $601.4K | 944 | 889 |
| 2016 | $10.4K | $725.89 | 14.32x | $9.7K | $562.1K | 923 | 863 |
| 2017 | $10.8K | $742.81 | 14.57x | $10.1K | $600.2K | 959 | 903 |
| 2018 | $10.6K | $704.48 | 15.11x | $9.9K | $581.6K | 946 | 895 |
| 2019 | $11.0K | $655.52 | 16.76x | $10.3K | $619.2K | 1.0K | 983 |
| 2020 | $11.5K | $697.71 | 16.45x | $10.8K | $506.5K | 820 | 773 |
| 2021 | $11.8K | $724.17 | 16.36x | $11.1K | $491.7K | 777 | 731 |
| 2022 | $11.7K | $706.48 | 16.63x | $11.0K | $543.5K | 872 | 832 |
| 2023 | $11.3K | $670.23 | 16.90x | $10.7K | $494.8K | 835 | 783 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 2.7K | $1.5M | $571.14 | 21.24x |
| 26055 | Incision of tendon covering | 1.9K | $892.6K | $467.82 | 13.01x |
| 25447 | Removal of bone joints between wrist and fingers | 698 | $631.0K | $904.04 | 17.45x |
| 26480 | Transplant of tendon of hand | 514 | $364.1K | $708.38 | 8.26x |
| 26123 | Removal of tissue of palm | 316 | $310.3K | $982.01 | 12.84x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 142 | $255.1K | $1.8K | 13.70x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 535 | $223.2K | $417.19 | 25.61x |
| 26160 | Removal of growth of tendon finger or hand | 383 | $195.4K | $510.15 | 19.35x |
| 26860 | Fusion of finger joint | 200 | $192.2K | $960.93 | 13.16x |
| 25310 | Relocation of tendon of forearm and/or wrist | 224 | $124.7K | $556.57 | 10.08x |
| 20680 | Removal of deep bone implant | 158 | $122.7K | $776.51 | 13.24x |
| 25000 | Incision to repair tendon covering at wrist | 204 | $104.7K | $513.47 | 24.91x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 85 | $89.5K | $1.1K | 7.81x |
| 29848 | Release of wrist ligament using an endoscope | 156 | $82.2K | $527.22 | 19.88x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 120 | $78.2K | $651.69 | 17.19x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 109 | $68.9K | $631.78 | 13.52x |
| 25111 | Removal of cyst at wrist | 121 | $61.1K | $505.35 | 18.54x |
| 26210 | Removal or scraping of finger bone cyst or growth | 100 | $51.8K | $517.90 | 22.50x |
| 64772 | Incision or removal of spinal nerve | 119 | $39.2K | $329.71 | 14.21x |
| 23410 | Repair of torn tendons of shoulder, open procedure | 28 | $37.5K | $1.3K | 10.87x |
This provider submits charges 16.62 times higher than what Medicare actually pays.
A markup ratio of 16.62x means for every $100 Medicare pays, this provider initially charges $1662. 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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