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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Madison Surgery Center, Inc.
๐Ÿ”ช
Organization

Madison Surgery Center, Inc.

NPI: 1295755023
Madison, WI
10 years of data
Ambulatory Surgical Center
$25.3M
Total Payments
261
Beneficiaries
45.6K
Services
7.5x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$25.3M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $25.3M over 10 years
27.5x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
418 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$3.7K$612.646.11x$3.1K$1.9M3.1K22
2015$3.6K$553.736.55x$3.1K$1.9M3.5K23
2016$3.7K$521.007.03x$3.1K$2.0M3.9K26
2017$3.2K$440.617.33x$2.8K$2.2M5.0K24
2018$3.8K$500.337.62x$3.3K$2.4M4.8K28
2019$4.0K$518.147.79x$3.5K$2.7M5.2K28
2020$4.4K$532.058.19x$3.8K$2.1M3.9K25
2021$4.6K$572.288.11x$4.1K$3.0M5.2K29
2022$4.9K$622.327.81x$4.2K$3.5M5.7K28
2023$5.1K$666.227.65x$4.4K$3.6M5.4K28

Top Procedures (20)

66984Removal of cataract with insertion of prosthetic lensโš  7.5x markup
$12.8M
15.8K services$811.02/svc7.53x markup
66982Complex removal of cataract with insertion of prosthetic lensโš  9.9x markup
$1.5M
1.8K services$814.02/svc9.86x markup
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single levelโš  7.9x markup
$1.3M
4.8K services$276.10/svc7.86x markup
64493Injection of lower or sacral spine facet joint using imaging guidance, single levelโš  8.8x markup
$1.1M
4.6K services$251.38/svc8.76x markup
64555Insertion of peripheral nerve neurostimulator electrode through skinโš  3.5x markup
$811.1K
197 services$4.1K/svc3.53x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  10.1x markup
$631.5K
3.0K services$208.95/svc10.12x markup
V2785Processing, preserving and transporting corneal tissue
$576.6K
145 services$4.0K/svc1.53x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet jointโš  4.8x markup
$516.8K
985 services$524.69/svc4.79x markup
63650Insertion of spinal neurostimulator electrode array through skinโš  3.1x markup
$481.5K
132 services$3.6K/svc3.11x markup
26055Incision of tendon covering of fingerโš  8.1x markup
$475.7K
973 services$488.91/svc8.07x markup
62323Injection of substance into lower spine canal using imaging guidanceโš  6.6x markup
$453.0K
1.9K services$244.36/svc6.63x markup
29848Release of wrist ligament using an endoscopeโš  14.1x markup
$374.6K
619 services$605.19/svc14.06x markup
64490Injection of upper or middle spine facet joint using imaging guidance, single levelโš  8.6x markup
$372.7K
1.4K services$263.20/svc8.62x markup
64721Release and/or relocation of hand nerveโš  6.6x markup
$334.4K
544 services$614.77/svc6.58x markup
65820Incision to improve eye fluid flowโš  4.7x markup
$315.4K
212 services$1.5K/svc4.71x markup
62311Injections of substances into lower or sacral spineโš  6.2x markup
$224.2K
769 services$291.51/svc6.22x markup
29881Removal of knee cartilage using an endoscopeโš  5.0x markup
$211.9K
205 services$1.0K/svc5.05x markup
65756Transplantation of outer layer of corneal tissueโš  5.3x markup
$208.8K
138 services$1.5K/svc5.30x markup
28750Fusion of great toe
$188.3K
69 services$2.7K/svc2.09x markup
28285Correction of toe joint deformityโš  7.9x markup
$171.0K
328 services$521.34/svc7.88x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
66984Removal of cataract with insertion of prosthetic lens15.8K$12.8M$811.027.53x
66982Complex removal of cataract with insertion of prosthetic lens1.8K$1.5M$814.029.86x
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level4.8K$1.3M$276.107.86x
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4.6K$1.1M$251.388.76x
64555Insertion of peripheral nerve neurostimulator electrode through skin197$811.1K$4.1K3.53x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography3.0K$631.5K$208.9510.12x
V2785Processing, preserving and transporting corneal tissue145$576.6K$4.0K1.53x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint985$516.8K$524.694.79x
63650Insertion of spinal neurostimulator electrode array through skin132$481.5K$3.6K3.11x
26055Incision of tendon covering of finger973$475.7K$488.918.07x
62323Injection of substance into lower spine canal using imaging guidance1.9K$453.0K$244.366.63x
29848Release of wrist ligament using an endoscope619$374.6K$605.1914.06x
64490Injection of upper or middle spine facet joint using imaging guidance, single level1.4K$372.7K$263.208.62x
64721Release and/or relocation of hand nerve544$334.4K$614.776.58x
65820Incision to improve eye fluid flow212$315.4K$1.5K4.71x
62311Injections of substances into lower or sacral spine769$224.2K$291.516.22x
29881Removal of knee cartilage using an endoscope205$211.9K$1.0K5.05x
65756Transplantation of outer layer of corneal tissue138$208.8K$1.5K5.30x
28750Fusion of great toe69$188.3K$2.7K2.09x
28285Correction of toe joint deformity328$171.0K$521.347.88x

Markup Analysis

Charge-to-Payment Ratio

7.5x

This provider submits charges 7.5 times higher than what Medicare actually pays.

What This Means

A markup ratio of 7.5x means for every $100 Medicare pays, this provider initially charges $750. This is higher than the national average.

Location

Madison, WI

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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