This provider's $34.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.1x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 156% from 2016 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $72.7K | $9.9K | 7.35x | $62.8K | $2.0M | 205 | 4 |
| 2017 | $65.6K | $9.4K | 6.96x | $56.2K | $2.8M | 300 | 6 |
| 2018 | $62.3K | $9.4K | 6.62x | $52.9K | $3.7M | 388 | 8 |
| 2019 | $55.6K | $6.1K | 9.13x | $49.5K | $4.3M | 704 | 11 |
| 2020 | $50.9K | $4.2K | 12.22x | $46.7K | $5.6M | 1.3K | 15 |
| 2021 | $50.2K | $4.0K | 12.48x | $46.2K | $5.7M | 1.4K | 13 |
| 2022 | $48.7K | $3.5K | 14.03x | $45.2K | $4.8M | 1.4K | 13 |
| 2023 | $49.0K | $3.5K | 14.17x | $45.6K | $5.2M | 1.5K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion of implantable defibrillator system | 459 | $8.9M | $19.5K | 4.86x |
| 33208 | Insertion of pacemaker and upper and lower heart chamber electrode | 1.0K | $5.9M | $5.7K | 10.88x |
| 33264 | Removal and replacement of multiple lead defibrillator | 239 | $4.7M | $19.6K | 5.04x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 837 | $3.8M | $4.5K | 13.46x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 420 | $2.3M | $5.6K | 11.17x |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 2.5K | $2.3M | $927.47 | 43.16x |
| 33263 | Removal and replacement of dual lead defibrillator | 132 | $1.9M | $14.3K | 6.99x |
| 33285 | Insertion of heart rhythm monitor under skin | 332 | $1.7M | $5.0K | 5.65x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker | 80 | $706.1K | $8.8K | 7.10x |
| 33282 | Implantation patient-activated heart monitoring device | 113 | $516.9K | $4.6K | 6.18x |
| 93459 | Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 395 | $359.4K | $909.95 | 46.42x |
| 33233 | Removal of permanent pacemaker pulse generator | 72 | $254.1K | $3.5K | 6.66x |
| 93460 | Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 211 | $203.7K | $965.40 | 48.97x |
| 37227 | Removal of plaque and insertion of stents in arteries of leg | 21 | $178.5K | $8.5K | 10.81x |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 137 | $115.3K | $841.51 | 38.37x |
| 92920 | Balloon dilation of single coronary artery or branch | 45 | $91.6K | $2.0K | 22.34x |
| C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ve | 33 | $42.7K | $1.3K | 10.79x |
| 33286 | Removal of heart rhythm monitor from under the skin | 126 | $28.5K | $226.41 | 36.70x |
| 93451 | Insertion of tube in right heart chambers for measurement | 12 | $12.9K | $1.1K | 22.77x |
| 33215 | Repositioning of implanted pacemaker or defibrillator device | 11 | $10.9K | $987.90 | 7.54x |
This provider submits charges 11.1 times higher than what Medicare actually pays.
A markup ratio of 11.1x means for every $100 Medicare pays, this provider initially charges $1110. 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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