This provider's $18.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 50% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2015
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 | $6.0K | $1.1K | 5.54x | $4.9K | $1.6M | 1.7K | 1.4K |
| 2015 | $6.2K | $1.4K | 4.45x | $4.8K | $2.3M | 2.0K | 1.6K |
| 2016 | $5.5K | $1.1K | 4.96x | $4.4K | $1.8M | 2.0K | 1.7K |
| 2017 | $6.0K | $1.3K | 4.66x | $4.7K | $2.3M | 2.4K | 2.0K |
| 2018 | $6.0K | $1.3K | 4.60x | $4.7K | $2.2M | 2.2K | 1.8K |
| 2019 | $5.9K | $1.1K | 5.30x | $4.8K | $1.7M | 1.9K | 1.5K |
| 2020 | $5.4K | $933.96 | 5.79x | $4.5K | $1.1M | 1.2K | 1.0K |
| 2021 | $6.0K | $1.1K | 5.49x | $4.9K | $1.4M | 1.3K | 1.1K |
| 2022 | $6.5K | $1.3K | 4.85x | $5.1K | $1.7M | 1.2K | 1.1K |
| 2023 | $6.4K | $1.3K | 4.89x | $5.1K | $2.3M | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.4K | $2.4M | $713.34 | 4.63x |
| 27447 | Repair of knee joint | 298 | $2.1M | $6.9K | 2.93x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 125 | $1.9M | $15.6K | 1.65x |
| 27446 | Repair of knee joint | 177 | $1.1M | $6.1K | 3.31x |
| 50590 | Shock wave crushing of kidney stones | 858 | $1.0M | $1.2K | 8.08x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 524 | $680.9K | $1.3K | 3.87x |
| 63655 | Implantation of spinal neurostimulator electrodes | 63 | $634.7K | $10.1K | 2.17x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 355 | $630.1K | $1.8K | 4.57x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 332 | $607.9K | $1.8K | 4.30x |
| 29881 | Removal of one knee cartilage using an endoscope | 564 | $540.1K | $957.56 | 7.76x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 62 | $445.6K | $7.2K | 2.82x |
| 0191T | Internal insertion of eye fluid drainage device | 249 | $414.3K | $1.7K | 5.68x |
| 29880 | Removal of both knee cartilages using an endoscope | 384 | $366.3K | $953.94 | 7.79x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 47 | $350.4K | $7.5K | 2.05x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 109 | $346.7K | $3.2K | 2.14x |
| 64721 | Release and/or relocation of median nerve of hand | 515 | $288.9K | $561.00 | 6.74x |
| 49650 | Repair of groin hernia using an endoscope | 180 | $257.5K | $1.4K | 4.75x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 109 | $230.7K | $2.1K | 3.83x |
| 29848 | Release of wrist ligament using an endoscope | 367 | $209.3K | $570.25 | 8.31x |
| 49505 | Repair of groin hernia patient age 5 years or older | 202 | $206.8K | $1.0K | 6.63x |
This provider submits charges 5 times higher than what Medicare actually pays.
A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. 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 UT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Zion Eye Institute, Inc | St George, UT | $48.0M | ✓ 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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