This provider's $16.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 66% 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 | $3.6K | $901.70 | 3.95x | $2.7K | $1.2M | 1.9K | 1.5K |
| 2015 | $3.0K | $764.28 | 3.94x | $2.2K | $1.2M | 2.1K | 1.6K |
| 2016 | $3.5K | $871.11 | 3.96x | $2.6K | $1.8M | 2.7K | 1.9K |
| 2017 | $3.3K | $795.03 | 4.20x | $2.5K | $1.4M | 2.2K | 1.8K |
| 2018 | $3.1K | $754.80 | 4.12x | $2.4K | $1.7M | 3.0K | 2.3K |
| 2019 | $3.0K | $676.38 | 4.40x | $2.3K | $1.8M | 3.7K | 2.8K |
| 2020 | $2.9K | $760.38 | 3.77x | $2.1K | $1.8M | 3.5K | 2.6K |
| 2021 | $3.0K | $816.57 | 3.65x | $2.2K | $1.9M | 3.6K | 2.7K |
| 2022 | $4.4K | $1.0K | 4.30x | $3.4K | $2.1M | 3.5K | 2.7K |
| 2023 | $4.3K | $957.56 | 4.44x | $3.3K | $2.0M | 3.7K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 7.3K | $5.6M | $768.20 | 3.80x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.5K | $1.0M | $235.02 | 8.51x |
| V2785 | Processing, preserving and transporting corneal tissue | 281 | $884.0K | $3.1K | 1.27x |
| 66982 | Removal of cataract with insertion of lens | 962 | $743.9K | $773.25 | 3.77x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 339 | $698.7K | $2.1K | 3.47x |
| 28750 | Fusion of great toe | 177 | $549.8K | $3.1K | 2.76x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.0K | $500.1K | $245.53 | 5.41x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $471.3K | $193.15 | 6.93x |
| 29881 | Removal of one knee cartilage using an endoscope | 465 | $445.8K | $958.63 | 3.59x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.6K | $434.2K | $276.71 | 5.07x |
| 26055 | Incision of tendon covering | 822 | $398.6K | $484.86 | 4.35x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 128 | $386.9K | $3.0K | 3.75x |
| 20680 | Removal of deep bone implant | 484 | $369.6K | $763.58 | 4.02x |
| 64721 | Release and/or relocation of median nerve of hand | 605 | $351.4K | $580.90 | 3.49x |
| 62311 | Injections of substances into lower or sacral spine | 1.3K | $348.4K | $269.25 | 3.93x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 418 | $287.9K | $688.84 | 10.35x |
| 28285 | Correction of toe joint deformity | 549 | $281.9K | $513.40 | 5.57x |
| 65756 | Transplant of outer layer of corneal tissue | 194 | $269.1K | $1.4K | 3.26x |
| 27447 | Replacement of knee joint, both sides of knee | 31 | $213.5K | $6.9K | 5.08x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 885 | $210.3K | $237.60 | 8.42x |
This provider submits charges 4.44 times higher than what Medicare actually pays.
A markup ratio of 4.44x means for every $100 Medicare pays, this provider initially charges $444. 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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