This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 608% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 97% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $3.7K | $867.55 | 4.26x | $2.8K | $244.4K | 232 | 223 |
| 2016 | $4.1K | $864.14 | 4.73x | $3.2K | $326.4K | 303 | 295 |
| 2017 | $4.0K | $798.01 | 5.07x | $3.3K | $289.6K | 292 | 280 |
| 2018 | $3.9K | $760.64 | 5.11x | $3.1K | $247.0K | 287 | 276 |
| 2019 | $6.0K | $1.4K | 4.34x | $4.6K | $462.3K | 368 | 352 |
| 2020 | $7.5K | $2.0K | 3.79x | $5.5K | $652.4K | 346 | 335 |
| 2021 | $8.7K | $2.4K | 3.57x | $6.2K | $1.3M | 457 | 438 |
| 2022 | $7.5K | $2.0K | 3.65x | $5.4K | $1.8M | 572 | 547 |
| 2023 | $9.2K | $2.6K | 3.55x | $6.6K | $1.7M | 487 | 465 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 310 | $2.1M | $6.7K | 3.26x |
| 27446 | Repair of knee joint | 250 | $1.6M | $6.4K | 3.56x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 576 | $1.1M | $1.9K | 3.64x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 126 | $866.9K | $6.9K | 3.20x |
| 64721 | Release and/or relocation of median nerve of hand | 685 | $407.7K | $595.25 | 3.78x |
| 29881 | Removal of one knee cartilage using an endoscope | 233 | $225.4K | $967.48 | 3.65x |
| 29880 | Removal of both knee cartilages using an endoscope | 183 | $173.9K | $950.21 | 3.73x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 217 | $132.8K | $612.04 | 5.82x |
| 26055 | Incision of tendon covering | 291 | $127.5K | $438.11 | 4.67x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 200 | $116.9K | $584.67 | 11.63x |
| 23120 | Partial removal of collar bone | 102 | $52.4K | $514.02 | 7.50x |
| 26160 | Removal of growth of tendon finger or hand | 73 | $38.7K | $530.11 | 3.86x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 13 | $29.5K | $2.3K | 2.99x |
| 26040 | Release of tissues of palm, accessed through the skin | 50 | $27.5K | $549.19 | 3.72x |
| 26480 | Transplant of tendon of hand | 24 | $23.0K | $956.50 | 3.59x |
| 26236 | Partial removal of finger bone at end of finger | 11 | $6.2K | $560.72 | 3.27x |
This provider submits charges 3.69 times higher than what Medicare actually pays.
A markup ratio of 3.69x means for every $100 Medicare pays, this provider initially charges $369. 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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