This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.35x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 105% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 115% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $7.2K | $566.23 | 12.79x | $6.7K | $935.7K | 1.8K | 1.6K |
| 2022 | $8.3K | $712.28 | 11.71x | $7.6K | $2.0M | 3.3K | 2.9K |
| 2023 | $9.2K | $788.56 | 11.72x | $8.5K | $1.9M | 3.0K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens, simple | 1.7K | $1.4M | $797.21 | 11.50x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 154 | $283.9K | $1.8K | 7.00x |
| 45385 | Removal of polyps or growths in large bowel using an endoscope (colonoscopy) using a mechanical snare | 585 | $243.4K | $416.01 | 13.66x |
| 43249 | Balloon dilation of esophagus, stomach and upper small bowel using a flexible endoscope | 370 | $201.2K | $543.66 | 8.82x |
| 67041 | Removal of membrane from the retina | 114 | $165.8K | $1.5K | 7.72x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 66 | $151.8K | $2.3K | 7.73x |
| 64721 | Release and/or relocation of median nerve of hand | 249 | $149.1K | $598.77 | 12.62x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 77 | $124.9K | $1.6K | 11.15x |
| 66982 | Removal of cataract with insertion of lens, complex | 154 | $123.0K | $798.90 | 12.33x |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | 345 | $111.9K | $324.46 | 17.40x |
| V2785 | Processing, preserving and transporting corneal tissue | 35 | $106.0K | $3.0K | 3.10x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 279 | $103.7K | $371.65 | 14.01x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 338 | $99.9K | $295.52 | 15.28x |
| 67900 | Repair of brow paralysis | 262 | $92.7K | $353.89 | 24.88x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 355 | $91.0K | $256.45 | 18.74x |
| 67904 | Repair of tendon of upper eyelid | 200 | $83.7K | $418.28 | 18.46x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 55 | $81.3K | $1.5K | 7.41x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 167 | $79.9K | $478.20 | 13.94x |
| 50590 | Shock wave crushing of kidney stones | 79 | $79.1K | $1.0K | 27.38x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 188 | $72.5K | $385.50 | 13.49x |
This provider submits charges 12.35 times higher than what Medicare actually pays.
A markup ratio of 12.35x means for every $100 Medicare pays, this provider initially charges $1235. 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 UT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Zion Eye Institute, Inc | St George, UT | $48.0M | ✓ 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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