This provider's $5.2M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 77% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $10.5K | $2.5K | 4.24x | $8.0K | $1.9M | 755 | 15 |
| 2023 | $10.1K | $2.6K | 3.90x | $7.5K | $3.3M | 1.3K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 245 | $1.9M | $7.7K | 4.14x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 169 | $1.3M | $7.8K | 4.06x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 18 | $378.5K | $21.0K | 3.52x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 68 | $280.7K | $4.1K | 3.52x |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 21 | $163.2K | $7.8K | 3.22x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 56 | $146.3K | $2.6K | 3.22x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 402 | $135.0K | $335.80 | 4.28x |
| 64721 | Release and/or relocation of hand nerve | 185 | $126.9K | $686.04 | 3.93x |
| 23430 | Anchoring of biceps tendon | 35 | $104.8K | $3.0K | 2.62x |
| 27446 | Replacement of knee joint on side of knee | 11 | $86.1K | $7.8K | 3.90x |
| 23412 | Repair of chronic torn shoulder rotator cuff | 41 | $68.4K | $1.7K | 4.28x |
| 26480 | Transfer of tendon to back of hand | 53 | $61.3K | $1.2K | 3.40x |
| 26055 | Incision of tendon covering of finger | 117 | $54.1K | $462.16 | 5.32x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 29 | $54.0K | $1.9K | 4.29x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 13 | $48.2K | $3.7K | 2.89x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 111 | $36.5K | $328.45 | 4.38x |
| 25447 | Removal of bone joints between wrist and fingers | 51 | $30.9K | $606.82 | 8.83x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 12 | $30.3K | $2.5K | 3.23x |
| 23120 | Partial removal of collar bone | 41 | $25.8K | $629.34 | 6.92x |
| 29881 | Removal of knee cartilage using an endoscope | 18 | $21.0K | $1.2K | 4.27x |
This provider submits charges 4.02 times higher than what Medicare actually pays.
A markup ratio of 4.02x means for every $100 Medicare pays, this provider initially charges $402. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $38.7M | ✓ 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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