This provider's $11.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 160% 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 | $2.6K | $543.45 | 4.76x | $2.0K | $742.3K | 1.7K | 1.3K |
| 2015 | $2.8K | $552.81 | 5.13x | $2.3K | $779.7K | 1.9K | 1.3K |
| 2016 | $3.0K | $540.24 | 5.58x | $2.5K | $701.1K | 1.8K | 1.3K |
| 2017 | $3.5K | $609.79 | 5.68x | $2.9K | $962.0K | 2.4K | 1.8K |
| 2018 | $3.4K | $572.57 | 5.94x | $2.8K | $981.9K | 2.4K | 1.8K |
| 2019 | $3.1K | $528.37 | 5.89x | $2.6K | $1.1M | 2.8K | 2.0K |
| 2020 | $3.2K | $614.75 | 5.13x | $2.5K | $1.1M | 2.7K | 1.9K |
| 2021 | $4.3K | $1.1K | 3.77x | $3.2K | $1.6M | 3.4K | 2.5K |
| 2022 | $4.3K | $814.87 | 5.24x | $3.5K | $1.6M | 3.4K | 2.5K |
| 2023 | $4.2K | $850.59 | 4.90x | $3.3K | $1.9M | 3.5K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.6K | $3.2M | $693.07 | 3.62x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 5.7K | $1.2M | $215.79 | 5.46x |
| 27447 | Replacement of knee joint, both sides of knee | 126 | $827.2K | $6.6K | 5.33x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 476 | $716.3K | $1.5K | 4.89x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 246 | $475.5K | $1.9K | 3.78x |
| 64721 | Release and/or relocation of median nerve of hand | 868 | $452.5K | $521.27 | 4.54x |
| 62311 | Injections of substances into lower or sacral spine | 1.7K | $397.5K | $234.51 | 4.25x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.3K | $276.9K | $216.64 | 5.38x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 447 | $263.9K | $590.30 | 10.70x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 958 | $249.8K | $260.71 | 4.43x |
| 26055 | Incision of tendon covering | 598 | $232.5K | $388.80 | 5.58x |
| 66982 | Removal of cataract with insertion of lens | 294 | $210.8K | $716.86 | 3.65x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 11 | $195.2K | $17.7K | 1.93x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 835 | $172.8K | $207.00 | 5.56x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 72 | $171.6K | $2.4K | 2.17x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 341 | $168.3K | $493.69 | 12.82x |
| 25447 | Removal of bone joints between wrist and fingers | 282 | $164.3K | $582.71 | 8.50x |
| 20680 | Removal of deep bone implant | 226 | $159.8K | $706.87 | 3.87x |
| 23430 | Anchoring of biceps tendon | 110 | $157.6K | $1.4K | 5.33x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.9K | $149.0K | $79.48 | 3.37x |
This provider submits charges 4.86 times higher than what Medicare actually pays.
A markup ratio of 4.86x means for every $100 Medicare pays, this provider initially charges $486. 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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