This provider's $6.7M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.56x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 329% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 95% in 2022
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 | $2.1K | $816.35 | 2.59x | $1.3K | $358.5K | 813 | 549 |
| 2015 | $2.2K | $803.78 | 2.70x | $1.4K | $337.7K | 709 | 511 |
| 2016 | $3.8K | $869.91 | 4.32x | $2.9K | $271.1K | 550 | 384 |
| 2017 | $6.1K | $994.21 | 6.10x | $5.1K | $335.2K | 539 | 405 |
| 2018 | $10.0K | $1.6K | 6.18x | $8.4K | $471.3K | 565 | 449 |
| 2019 | $9.5K | $1.6K | 6.10x | $7.9K | $555.6K | 600 | 460 |
| 2020 | $9.3K | $1.6K | 5.75x | $7.7K | $528.9K | 463 | 406 |
| 2021 | $9.7K | $1.6K | 5.98x | $8.0K | $782.3K | 625 | 566 |
| 2022 | $12.4K | $2.2K | 5.75x | $10.3K | $1.5M | 586 | 557 |
| 2023 | $14.3K | $2.5K | 5.70x | $11.8K | $1.5M | 598 | 574 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 186 | $1.3M | $6.9K | 5.44x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 100 | $721.2K | $7.2K | 4.59x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 368 | $685.6K | $1.9K | 5.13x |
| 27446 | Repair of knee joint | 86 | $569.3K | $6.6K | 6.82x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $518.7K | $253.13 | 5.17x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 173 | $511.0K | $3.0K | 3.89x |
| 64721 | Release and/or relocation of median nerve of hand | 741 | $443.5K | $598.50 | 5.83x |
| 29881 | Removal of one knee cartilage using an endoscope | 349 | $346.9K | $993.99 | 5.46x |
| 23430 | Anchoring of biceps tendon | 147 | $247.0K | $1.7K | 6.13x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 110 | $244.7K | $2.2K | 5.25x |
| 29880 | Removal of both knee cartilages using an endoscope | 220 | $216.7K | $985.21 | 4.96x |
| 26055 | Incision of tendon covering | 450 | $212.9K | $473.14 | 5.90x |
| 29860 | Diagnostic examination of hip using an endoscope | 59 | $129.1K | $2.2K | 4.60x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 201 | $111.2K | $553.14 | 11.29x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 186 | $100.1K | $538.27 | 11.52x |
| 29848 | Release of wrist ligament using an endoscope | 154 | $83.3K | $540.72 | 11.89x |
| 20680 | Removal of deep bone implant | 79 | $60.8K | $769.02 | 4.51x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 15 | $46.8K | $3.1K | 4.31x |
| 62311 | Injections of substances into lower or sacral spine | 135 | $38.2K | $282.93 | 3.85x |
| 27570 | Alignment of knee joint under anesthesia | 57 | $31.3K | $548.42 | 5.66x |
This provider submits charges 5.56 times higher than what Medicare actually pays.
A markup ratio of 5.56x means for every $100 Medicare pays, this provider initially charges $556. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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