This provider's $4.5M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 258% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2019
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 | $2.7K | $510.50 | 5.29x | $2.2K | $217.5K | 503 | 461 |
| 2015 | $3.2K | $596.56 | 5.30x | $2.6K | $264.5K | 486 | 454 |
| 2016 | $3.3K | $614.98 | 5.35x | $2.7K | $265.0K | 457 | 445 |
| 2017 | $3.6K | $630.19 | 5.76x | $3.0K | $253.4K | 466 | 444 |
| 2018 | $3.0K | $545.37 | 5.51x | $2.5K | $341.3K | 666 | 643 |
| 2019 | $2.9K | $548.32 | 5.24x | $2.3K | $547.8K | 1.2K | 1.1K |
| 2020 | $2.4K | $546.43 | 4.40x | $1.9K | $531.7K | 1.2K | 1.1K |
| 2021 | $2.8K | $602.76 | 4.64x | $2.2K | $672.7K | 1.4K | 1.4K |
| 2022 | $2.5K | $514.48 | 4.78x | $1.9K | $644.7K | 1.4K | 1.4K |
| 2023 | $2.8K | $574.29 | 4.81x | $2.2K | $778.8K | 1.6K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.5K | $583.4K | $394.69 | 4.32x |
| 64721 | Release and/or relocation of median nerve of hand | 894 | $530.1K | $592.97 | 4.97x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 833 | $400.8K | $481.12 | 4.19x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 275 | $275.0K | $999.82 | 4.28x |
| 67904 | Repair of tendon of upper eyelid | 507 | $261.9K | $516.66 | 4.27x |
| 45380 | Biopsy of large bowel using an endoscope | 672 | $223.7K | $332.83 | 5.13x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 559 | $215.1K | $384.83 | 3.58x |
| 47562 | Removal of gallbladder using an endoscope | 127 | $201.6K | $1.6K | 5.11x |
| 49650 | Repair of groin hernia using an endoscope | 110 | $167.5K | $1.5K | 5.02x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 416 | $156.5K | $376.19 | 3.80x |
| 26055 | Incision of tendon covering | 343 | $155.8K | $454.13 | 4.91x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 410 | $141.1K | $344.25 | 5.62x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 330 | $95.8K | $290.21 | 4.97x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 46 | $94.8K | $2.1K | 3.33x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 336 | $94.3K | $280.79 | 5.37x |
| 67900 | Repair of brow paralysis | 217 | $88.9K | $409.86 | 6.98x |
| 67917 | Extensive repair of turning-outward eyelid defect | 160 | $80.8K | $504.76 | 4.93x |
| 67924 | Repair of turning-inward eyelid defect | 146 | $77.4K | $529.99 | 4.03x |
| 46946 | Removal and tying 2 or more hemorrhoid group | 90 | $74.3K | $825.56 | 4.19x |
| 67950 | Enlargement of eyelid margin | 117 | $68.9K | $588.80 | 3.33x |
This provider submits charges 4.7 times higher than what Medicare actually pays.
A markup ratio of 4.7x means for every $100 Medicare pays, this provider initially charges $470. 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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