This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.42x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 288% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1577% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $4.3K | $674.40 | 6.33x | $3.6K | $637.1K | 1.5K | 1.1K |
| 2015 | $4.7K | $653.43 | 7.25x | $4.1K | $619.3K | 1.6K | 1.1K |
| 2016 | $4.4K | $600.89 | 7.35x | $3.8K | $701.7K | 1.7K | 1.2K |
| 2017 | $4.8K | $581.64 | 8.24x | $4.2K | $764.3K | 1.8K | 1.4K |
| 2018 | $5.6K | $734.64 | 7.57x | $4.8K | $770.3K | 1.6K | 1.2K |
| 2019 | $5.4K | $853.98 | 6.34x | $4.6K | $910.1K | 1.8K | 1.3K |
| 2020 | $4.8K | $499.98 | 9.60x | $4.3K | $147.4K | 378 | 326 |
| 2023 | $8.0K | $1.1K | 7.33x | $6.9K | $2.5M | 1.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.3K | $1.4M | $267.90 | 6.48x |
| 27447 | Replacement of knee joint, both sides of knee | 192 | $1.3M | $7.0K | 6.93x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 340 | $650.2K | $1.9K | 4.96x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 78 | $559.9K | $7.2K | 6.20x |
| 64721 | Release and/or relocation of median nerve of hand | 825 | $477.4K | $578.71 | 10.70x |
| 29881 | Removal of one knee cartilage using an endoscope | 408 | $390.3K | $956.67 | 8.53x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $253.5K | $231.55 | 12.76x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 149 | $228.2K | $1.5K | 5.59x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 386 | $187.0K | $484.38 | 6.04x |
| 29880 | Removal of both knee cartilages using an endoscope | 186 | $177.3K | $953.02 | 8.30x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 159 | $154.0K | $968.26 | 9.02x |
| 23430 | Anchoring of biceps tendon | 113 | $142.2K | $1.3K | 7.58x |
| 26055 | Incision of tendon covering | 301 | $139.9K | $464.81 | 10.46x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 28 | $86.3K | $3.1K | 1.79x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 370 | $81.3K | $219.73 | 5.53x |
| 20680 | Removal of deep bone implant | 95 | $72.8K | $766.21 | 4.62x |
| 28750 | Fusion of great toe | 25 | $62.3K | $2.5K | 1.87x |
| 23440 | Transplantation of biceps tendon | 114 | $59.2K | $519.73 | 11.87x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 116 | $58.9K | $508.09 | 14.72x |
| 27570 | Alignment of knee joint under anesthesia | 104 | $53.4K | $513.74 | 5.61x |
This provider submits charges 7.42 times higher than what Medicare actually pays.
A markup ratio of 7.42x means for every $100 Medicare pays, this provider initially charges $742. 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 | ✓ Clear |
| The Urology Center Llc | Cincinnati, OH | $37.6M | ✓ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | ✓ 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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