This provider's $35.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.48x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 115% 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 | $2.8K | $513.25 | 5.40x | $2.3K | $2.3M | 4.4K | 34 |
| 2015 | $3.2K | $597.30 | 5.35x | $2.6K | $3.0M | 5.0K | 32 |
| 2016 | $3.0K | $533.01 | 5.62x | $2.5K | $2.7M | 5.0K | 34 |
| 2017 | $3.6K | $641.48 | 5.56x | $2.9K | $3.4M | 5.3K | 35 |
| 2018 | $3.9K | $658.27 | 5.99x | $3.3K | $3.7M | 5.6K | 34 |
| 2019 | $4.1K | $592.58 | 6.86x | $3.5K | $3.3M | 5.6K | 36 |
| 2020 | $2.8K | $409.13 | 6.80x | $2.4K | $3.0M | 7.3K | 30 |
| 2021 | $1.8K | $251.02 | 7.13x | $1.5K | $4.0M | 16.0K | 34 |
| 2022 | $505.69 | $72.27 | 7.00x | $433.42 | $5.2M | 72.2K | 35 |
| 2023 | $587.00 | $77.40 | 7.58x | $509.60 | $4.8M | 62.6K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 11.9K | $9.9M | $836.60 | 6.50x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 8.2K | $2.9M | $353.07 | 8.09x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 108 | $2.1M | $19.4K | 3.92x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 3.8K | $1.6M | $419.95 | 7.28x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 407 | $1.5M | $3.7K | 4.58x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 176 | $1.3M | $7.6K | 5.98x |
| 27447 | Replacement of knee joint, both sides of knee | 179 | $1.3M | $7.5K | 5.71x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 4.4K | $1.1M | $250.00 | 11.51x |
| 0191T | Internal insertion of eye fluid drainage device | 375 | $774.7K | $2.1K | 4.37x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.4K | $705.4K | $506.38 | 7.73x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.7K | $693.6K | $397.03 | 7.06x |
| 49505 | Repair of groin hernia (5 years or older) | 590 | $672.9K | $1.1K | 5.99x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.7K | $659.4K | $396.07 | 7.18x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 281 | $562.6K | $2.0K | 5.26x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.0K | $548.7K | $546.53 | 7.32x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 89 | $514.2K | $5.8K | 5.05x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1.7K | $461.4K | $264.12 | 6.81x |
| 49650 | Repair of groin hernia using an endoscope | 238 | $387.6K | $1.6K | 6.02x |
| 28730 | Fusion of multiple foot joints | 49 | $385.9K | $7.9K | 4.56x |
| 64479 | Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 1.3K | $368.4K | $278.87 | 6.52x |
This provider submits charges 6.48 times higher than what Medicare actually pays.
A markup ratio of 6.48x means for every $100 Medicare pays, this provider initially charges $648. 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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