This provider's $6.1M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.61x 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 | $2.8K | $498.09 | 5.59x | $2.3K | $582.7K | 1.0K | 776 |
| 2015 | $2.5K | $450.22 | 5.63x | $2.1K | $608.5K | 1.2K | 888 |
| 2016 | $2.4K | $470.27 | 5.18x | $2.0K | $594.7K | 1.2K | 823 |
| 2017 | $2.3K | $412.73 | 5.68x | $1.9K | $502.9K | 1.0K | 752 |
| 2018 | $2.5K | $441.83 | 5.65x | $2.1K | $547.5K | 1.1K | 804 |
| 2019 | $2.3K | $428.10 | 5.31x | $1.8K | $576.3K | 1.1K | 830 |
| 2020 | $2.4K | $438.66 | 5.51x | $2.0K | $597.2K | 1.3K | 934 |
| 2021 | $2.3K | $450.71 | 5.10x | $1.8K | $699.1K | 1.8K | 1.2K |
| 2022 | $2.4K | $459.14 | 5.32x | $2.0K | $678.1K | 1.7K | 1.2K |
| 2023 | $2.7K | $465.51 | 5.77x | $2.2K | $724.3K | 1.8K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.2K | $3.2M | $763.33 | 5.99x |
| 66982 | Removal of cataract with insertion of lens | 747 | $569.2K | $762.04 | 6.02x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.7K | $482.8K | $276.84 | 4.67x |
| 64721 | Release and/or relocation of median nerve of hand | 382 | $224.2K | $586.84 | 5.16x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 586 | $152.0K | $259.32 | 5.50x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.7K | $137.5K | $79.05 | 2.23x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 385 | $135.6K | $352.24 | 4.34x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 595 | $132.8K | $223.12 | 5.86x |
| 29881 | Removal of one knee cartilage using an endoscope | 132 | $126.6K | $958.95 | 5.20x |
| 29880 | Removal of both knee cartilages using an endoscope | 118 | $110.8K | $939.37 | 5.18x |
| 45380 | Biopsy of large bowel using an endoscope | 301 | $108.9K | $361.63 | 4.36x |
| 62311 | Injections of substances into lower or sacral spine | 409 | $106.6K | $260.52 | 4.60x |
| 26055 | Incision of tendon covering | 191 | $84.4K | $442.13 | 6.51x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 227 | $82.2K | $362.19 | 4.28x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 217 | $76.7K | $353.32 | 4.24x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 248 | $67.8K | $273.49 | 5.46x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 218 | $49.4K | $226.68 | 5.81x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 130 | $32.6K | $250.55 | 6.61x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 141 | $30.6K | $216.74 | 6.60x |
| 23120 | Partial removal of collar bone | 51 | $29.3K | $575.03 | 8.21x |
This provider submits charges 5.61 times higher than what Medicare actually pays.
A markup ratio of 5.61x means for every $100 Medicare pays, this provider initially charges $561. 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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