This provider's $7.8M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 15.01x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 151% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $7.0K | $584.39 | 11.95x | $6.4K | $560.8K | 1.1K | 1.0K |
| 2015 | $6.7K | $561.34 | 11.89x | $6.1K | $620.4K | 1.1K | 1.1K |
| 2016 | $7.5K | $529.84 | 14.11x | $6.9K | $604.5K | 1.1K | 1.1K |
| 2017 | $8.2K | $541.62 | 15.07x | $7.6K | $736.7K | 1.3K | 1.3K |
| 2018 | $8.7K | $549.61 | 15.82x | $8.1K | $679.6K | 1.2K | 1.2K |
| 2019 | $10.9K | $731.07 | 14.94x | $10.2K | $827.8K | 1.3K | 1.3K |
| 2020 | $9.8K | $592.93 | 16.52x | $9.2K | $580.8K | 957 | 916 |
| 2021 | $10.7K | $624.33 | 17.07x | $10.0K | $751.3K | 1.2K | 1.1K |
| 2022 | $13.1K | $919.89 | 14.29x | $12.2K | $1.0M | 1.2K | 1.2K |
| 2023 | $13.9K | $1.3K | 10.80x | $12.6K | $1.4M | 1.4K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 330 | $689.5K | $2.1K | 13.35x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.1K | $525.0K | $475.97 | 19.41x |
| 67904 | Repair of tendon of upper eyelid | 774 | $381.0K | $492.19 | 19.74x |
| 67917 | Extensive repair of turning-outward eyelid defect | 805 | $371.8K | $461.89 | 17.56x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 17 | $325.8K | $19.2K | 3.45x |
| 67924 | Repair of turning-inward eyelid defect | 533 | $300.8K | $564.28 | 19.41x |
| 29881 | Removal of one knee cartilage using an endoscope | 294 | $287.2K | $977.03 | 11.61x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 306 | $285.8K | $933.83 | 11.16x |
| 27447 | Replacement of knee joint, both sides of knee | 37 | $258.9K | $7.0K | 8.38x |
| 68815 | Probing of nasal-tear duct with insertion of tube or stent | 567 | $233.1K | $411.18 | 15.01x |
| 67961 | Removal of up to one-fourth of the eyelid involving lid margin | 389 | $223.1K | $573.43 | 18.28x |
| 64721 | Release and/or relocation of median nerve of hand | 353 | $208.0K | $589.16 | 22.40x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 132 | $196.9K | $1.5K | 16.14x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 26 | $174.4K | $6.7K | 9.94x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 305 | $168.5K | $552.61 | 19.29x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 286 | $167.4K | $585.25 | 19.41x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 330 | $160.5K | $486.45 | 13.57x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 283 | $146.1K | $516.12 | 10.51x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 177 | $137.2K | $775.09 | 10.63x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 38 | $132.7K | $3.5K | 9.69x |
This provider submits charges 15.01 times higher than what Medicare actually pays.
A markup ratio of 15.01x means for every $100 Medicare pays, this provider initially charges $1501. 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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