This provider's $20.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $621.26 | 4.57x | $2.2K | $1.8M | 2.8K | 2.2K |
| 2015 | $2.9K | $568.44 | 5.02x | $2.3K | $1.8M | 3.0K | 2.3K |
| 2016 | $2.9K | $541.37 | 5.34x | $2.4K | $1.9M | 3.3K | 2.6K |
| 2017 | $3.2K | $562.88 | 5.69x | $2.6K | $1.9M | 3.3K | 2.5K |
| 2018 | $3.2K | $582.80 | 5.44x | $2.6K | $2.0M | 3.3K | 2.5K |
| 2019 | $3.2K | $682.98 | 4.74x | $2.6K | $2.0M | 3.5K | 2.7K |
| 2020 | $3.3K | $763.78 | 4.26x | $2.5K | $1.9M | 3.3K | 2.5K |
| 2021 | $4.1K | $1.0K | 3.92x | $3.0K | $2.4M | 4.0K | 3.0K |
| 2022 | $3.2K | $738.55 | 4.34x | $2.5K | $2.2M | 4.0K | 3.0K |
| 2023 | $3.6K | $859.47 | 4.13x | $2.7K | $2.4M | 4.0K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 11.7K | $8.7M | $742.72 | 3.39x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $1.6M | $1.6K | 3.98x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.0K | $988.8K | $249.75 | 5.86x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 401 | $794.6K | $2.0K | 3.26x |
| 64721 | Release and/or relocation of median nerve of hand | 1.2K | $670.4K | $562.45 | 5.01x |
| 0191T | Internal insertion of eye fluid drainage device | 286 | $558.6K | $2.0K | 2.07x |
| 66982 | Removal of cataract with insertion of lens | 663 | $499.3K | $753.12 | 3.34x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 615 | $398.2K | $647.45 | 9.70x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 17 | $319.7K | $18.8K | 2.61x |
| 23430 | Anchoring of biceps tendon | 210 | $315.3K | $1.5K | 3.89x |
| 29881 | Removal of one knee cartilage using an endoscope | 322 | $309.9K | $962.50 | 3.76x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $274.1K | $249.83 | 6.63x |
| 26055 | Incision of tendon covering | 647 | $271.3K | $419.31 | 5.32x |
| 67904 | Repair of tendon of upper eyelid | 513 | $250.3K | $487.95 | 4.32x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 413 | $244.1K | $591.07 | 4.01x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 90 | $226.4K | $2.5K | 1.91x |
| 28285 | Correction of toe joint deformity | 360 | $214.7K | $596.44 | 6.23x |
| 29880 | Removal of both knee cartilages using an endoscope | 224 | $213.2K | $951.72 | 4.70x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.0K | $210.6K | $209.72 | 6.75x |
| 25447 | Removal of bone joints between wrist and fingers | 281 | $207.9K | $740.01 | 6.27x |
This provider submits charges 4.27 times higher than what Medicare actually pays.
A markup ratio of 4.27x means for every $100 Medicare pays, this provider initially charges $427. 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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