This provider's $25.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.5x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $3.7K | $612.64 | 6.11x | $3.1K | $1.9M | 3.1K | 22 |
| 2015 | $3.6K | $553.73 | 6.55x | $3.1K | $1.9M | 3.5K | 23 |
| 2016 | $3.7K | $521.00 | 7.03x | $3.1K | $2.0M | 3.9K | 26 |
| 2017 | $3.2K | $440.61 | 7.33x | $2.8K | $2.2M | 5.0K | 24 |
| 2018 | $3.8K | $500.33 | 7.62x | $3.3K | $2.4M | 4.8K | 28 |
| 2019 | $4.0K | $518.14 | 7.79x | $3.5K | $2.7M | 5.2K | 28 |
| 2020 | $4.4K | $532.05 | 8.19x | $3.8K | $2.1M | 3.9K | 25 |
| 2021 | $4.6K | $572.28 | 8.11x | $4.1K | $3.0M | 5.2K | 29 |
| 2022 | $4.9K | $622.32 | 7.81x | $4.2K | $3.5M | 5.7K | 28 |
| 2023 | $5.1K | $666.22 | 7.65x | $4.4K | $3.6M | 5.4K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 15.8K | $12.8M | $811.02 | 7.53x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.8K | $1.5M | $814.02 | 9.86x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 4.8K | $1.3M | $276.10 | 7.86x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 4.6K | $1.1M | $251.38 | 8.76x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 197 | $811.1K | $4.1K | 3.53x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 3.0K | $631.5K | $208.95 | 10.12x |
| V2785 | Processing, preserving and transporting corneal tissue | 145 | $576.6K | $4.0K | 1.53x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 985 | $516.8K | $524.69 | 4.79x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 132 | $481.5K | $3.6K | 3.11x |
| 26055 | Incision of tendon covering of finger | 973 | $475.7K | $488.91 | 8.07x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.9K | $453.0K | $244.36 | 6.63x |
| 29848 | Release of wrist ligament using an endoscope | 619 | $374.6K | $605.19 | 14.06x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.4K | $372.7K | $263.20 | 8.62x |
| 64721 | Release and/or relocation of hand nerve | 544 | $334.4K | $614.77 | 6.58x |
| 65820 | Incision to improve eye fluid flow | 212 | $315.4K | $1.5K | 4.71x |
| 62311 | Injections of substances into lower or sacral spine | 769 | $224.2K | $291.51 | 6.22x |
| 29881 | Removal of knee cartilage using an endoscope | 205 | $211.9K | $1.0K | 5.05x |
| 65756 | Transplantation of outer layer of corneal tissue | 138 | $208.8K | $1.5K | 5.30x |
| 28750 | Fusion of great toe | 69 | $188.3K | $2.7K | 2.09x |
| 28285 | Correction of toe joint deformity | 328 | $171.0K | $521.34 | 7.88x |
This provider submits charges 7.5 times higher than what Medicare actually pays.
A markup ratio of 7.5x means for every $100 Medicare pays, this provider initially charges $750. 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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