This provider's $17.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 704% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 190% in 2020
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $2.4K | $569.22 | 4.27x | $1.9K | $558.4K | 981 | 13 |
| 2015 | $2.4K | $534.93 | 4.50x | $1.9K | $617.3K | 1.2K | 15 |
| 2016 | $2.6K | $522.09 | 4.90x | $2.0K | $483.5K | 926 | 14 |
| 2017 | $2.5K | $489.70 | 5.16x | $2.0K | $495.1K | 1.0K | 13 |
| 2018 | $2.5K | $512.67 | 4.83x | $2.0K | $530.6K | 1.0K | 14 |
| 2019 | $2.5K | $509.84 | 4.86x | $2.0K | $577.1K | 1.1K | 13 |
| 2020 | $4.9K | $1.3K | 3.81x | $3.6K | $1.7M | 1.3K | 14 |
| 2021 | $6.8K | $1.8K | 3.68x | $5.0K | $3.8M | 2.0K | 20 |
| 2022 | $7.5K | $2.1K | 3.51x | $5.4K | $4.4M | 2.1K | 22 |
| 2023 | $8.0K | $2.4K | 3.41x | $5.7K | $4.5M | 1.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 1.2K | $8.1M | $6.8K | 3.34x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 402 | $2.8M | $6.9K | 3.61x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 876 | $1.7M | $1.9K | 1.98x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 4.8K | $1.3M | $259.08 | 6.70x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 684 | $464.0K | $678.35 | 5.50x |
| 29881 | Removal of knee cartilage using an endoscope | 443 | $427.4K | $964.69 | 3.40x |
| 29880 | Removal of both knee cartilages using an endoscope | 397 | $376.4K | $947.99 | 3.46x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 622 | $346.7K | $557.45 | 5.20x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 125 | $263.4K | $2.1K | 1.77x |
| 29848 | Release of wrist ligament using an endoscope | 440 | $226.6K | $515.09 | 7.77x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 877 | $225.6K | $257.20 | 6.74x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 363 | $223.0K | $614.20 | 2.82x |
| 26055 | Incision of tendon covering of finger | 393 | $163.6K | $416.37 | 5.53x |
| 29862 | Removal or shaving of hip joint socket cartilage using an endoscope | 56 | $113.4K | $2.0K | 4.44x |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 390 | $111.6K | $286.17 | 6.06x |
| 23430 | Anchoring of biceps tendon | 64 | $100.5K | $1.6K | 2.14x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 415 | $92.3K | $222.42 | 7.80x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 26 | $84.6K | $3.3K | 1.75x |
| 27446 | Repair of knee joint, lower or upper part of joint, inside or outside area | 12 | $80.7K | $6.7K | 4.27x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 151 | $71.4K | $473.01 | 6.13x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cei Physicians Psc Llc | Blue Ash, OH | $43.6M | โ Clear |
| The Urology Center Llc | Cincinnati, OH | $37.6M | โ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | โ 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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