This provider's $11.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.65x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 2477% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2178% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $11.5K | $3.0K | 3.78x | $8.5K | $90.4K | 26 | 26 |
| 2019 | $28.0K | $5.9K | 4.74x | $22.1K | $2.1M | 443 | 430 |
| 2020 | $26.7K | $5.0K | 5.35x | $21.7K | $2.1M | 763 | 742 |
| 2021 | $26.2K | $5.1K | 5.17x | $21.1K | $2.5M | 852 | 849 |
| 2022 | $28.7K | $5.4K | 5.27x | $23.3K | $2.1M | 685 | 685 |
| 2023 | $28.7K | $5.3K | 5.40x | $23.4K | $2.3M | 742 | 729 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 138 | $2.6M | $19.0K | 3.03x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 305 | $1.7M | $5.7K | 3.66x |
| 33264 | Removal and replacement of defibrillator pulse generator | 72 | $1.4M | $18.9K | 5.14x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.4K | $1.3M | $940.13 | 12.18x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 213 | $926.4K | $4.3K | 4.80x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 154 | $850.4K | $5.5K | 5.50x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 74 | $596.8K | $8.1K | 7.21x |
| 33285 | Insertion of heart rhythm monitor under skin | 108 | $535.5K | $5.0K | 3.36x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 98 | $422.3K | $4.3K | 7.79x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 108 | $241.4K | $2.2K | 11.50x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 22 | $152.3K | $6.9K | 4.78x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 125 | $124.1K | $992.46 | 11.52x |
| 33227 | Removal and replacement of single lead permanent pacemaker pulse generator | 23 | $104.2K | $4.5K | 6.12x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 75 | $72.7K | $969.39 | 11.78x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 15 | $56.6K | $3.8K | 4.21x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 58 | $52.0K | $896.20 | 12.80x |
| 33286 | Removal of heart rhythm monitor from under skin | 86 | $18.9K | $220.16 | 12.24x |
| 71045 | X-ray of chest, 1 view | 453 | $5.4K | $11.98 | 3.34x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 11 | $2.4K | $218.58 | 12.42x |
This provider submits charges 5.65 times higher than what Medicare actually pays.
A markup ratio of 5.65x means for every $100 Medicare pays, this provider initially charges $565. 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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