This provider's $11.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 21.44x is significantly above the specialty median of 6.1x.
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 | $7.7K | $547.63 | 14.11x | $7.2K | $897.0K | 2.6K | 2.3K |
| 2015 | $7.8K | $516.72 | 15.09x | $7.3K | $1.1M | 3.0K | 2.7K |
| 2016 | $8.0K | $536.54 | 14.90x | $7.5K | $1.2M | 3.4K | 2.9K |
| 2017 | $9.1K | $517.96 | 17.61x | $8.6K | $1.2M | 3.6K | 3.2K |
| 2018 | $10.5K | $903.93 | 11.65x | $9.6K | $1.5M | 3.9K | 3.3K |
| 2019 | $10.3K | $618.83 | 16.70x | $9.7K | $1.2M | 3.2K | 2.7K |
| 2020 | $11.8K | $617.84 | 19.12x | $11.2K | $917.6K | 2.3K | 1.9K |
| 2021 | $12.2K | $588.18 | 20.72x | $11.6K | $1.0M | 2.4K | 2.0K |
| 2022 | $12.2K | $493.09 | 24.83x | $11.8K | $935.8K | 2.3K | 2.0K |
| 2023 | $14.9K | $524.24 | 28.46x | $14.4K | $1.2M | 2.9K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.1K | $1.7M | $797.69 | 14.16x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.6K | $1.7M | $250.51 | 26.98x |
| 45380 | Biopsy of large bowel using an endoscope | 4.9K | $1.6M | $333.36 | 22.32x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.2K | $831.4K | $381.37 | 19.93x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.3K | $779.5K | $236.79 | 35.55x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 258 | $527.2K | $2.0K | 12.80x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.2K | $423.0K | $364.36 | 20.66x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.0K | $363.5K | $355.72 | 20.79x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $354.3K | $248.47 | 21.71x |
| 49650 | Repair of groin hernia using an endoscope | 193 | $267.3K | $1.4K | 14.81x |
| 66982 | Removal of cataract with insertion of lens | 263 | $207.1K | $787.28 | 13.25x |
| 43249 | Balloon dilation of esophagus using an endoscope | 389 | $193.5K | $497.37 | 17.64x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 914 | $176.9K | $193.54 | 35.33x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 12 | $157.6K | $13.1K | 2.34x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 50 | $155.8K | $3.1K | 5.80x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 484 | $137.1K | $283.25 | 26.30x |
| 62311 | Injections of substances into lower or sacral spine | 444 | $122.7K | $276.37 | 14.75x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 238 | $117.9K | $495.50 | 20.70x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 487 | $111.2K | $228.35 | 34.95x |
| 28285 | Correction of toe joint deformity | 179 | $109.0K | $608.85 | 21.80x |
This provider submits charges 21.44 times higher than what Medicare actually pays.
A markup ratio of 21.44x means for every $100 Medicare pays, this provider initially charges $2144. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ 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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