This provider's $7.6M in total Medicare payments ranks in the 96th 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 | $3.5K | $917.58 | 3.77x | $2.5K | $722.8K | 776 | 763 |
| 2015 | $4.4K | $1.0K | 4.28x | $3.3K | $761.3K | 789 | 760 |
| 2016 | $4.4K | $928.98 | 4.72x | $3.5K | $728.7K | 803 | 775 |
| 2017 | $4.3K | $926.98 | 4.61x | $3.4K | $718.7K | 817 | 777 |
| 2018 | $4.3K | $1.0K | 4.31x | $3.3K | $911.1K | 967 | 929 |
| 2019 | $4.4K | $919.17 | 4.77x | $3.5K | $805.3K | 893 | 841 |
| 2020 | $4.4K | $1.0K | 4.18x | $3.3K | $724.5K | 782 | 746 |
| 2021 | $4.1K | $971.16 | 4.27x | $3.2K | $721.0K | 814 | 768 |
| 2022 | $4.3K | $976.59 | 4.43x | $3.4K | $727.6K | 827 | 785 |
| 2023 | $4.2K | $878.96 | 4.76x | $3.3K | $751.4K | 909 | 866 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 1.9K | $1.0M | $557.13 | 5.73x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 435 | $864.7K | $2.0K | 3.58x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 490 | $861.2K | $1.8K | 3.66x |
| 29881 | Removal of one knee cartilage using an endoscope | 755 | $717.0K | $949.71 | 4.10x |
| 23410 | Repair of torn tendons of shoulder, open procedure | 322 | $549.4K | $1.7K | 3.76x |
| 29880 | Removal of both knee cartilages using an endoscope | 558 | $529.2K | $948.43 | 4.09x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 194 | $528.7K | $2.7K | 2.55x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 477 | $399.7K | $838.01 | 5.93x |
| 26480 | Transplant of tendon of hand | 454 | $339.2K | $747.16 | 5.10x |
| 25447 | Removal of bone joints between wrist and fingers | 448 | $299.9K | $669.46 | 8.69x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 173 | $227.3K | $1.3K | 3.27x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 376 | $220.5K | $586.37 | 6.62x |
| 23430 | Anchoring of biceps tendon | 85 | $163.5K | $1.9K | 2.59x |
| 26055 | Incision of tendon covering | 374 | $131.5K | $351.49 | 7.73x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 309 | $120.2K | $388.99 | 8.08x |
| 20680 | Removal of deep bone implant | 159 | $116.9K | $735.17 | 4.39x |
| 26123 | Removal of tissue of palm | 108 | $103.6K | $959.20 | 4.03x |
| 26850 | Fusion of finger joint | 49 | $103.5K | $2.1K | 1.92x |
| 23420 | Repair of torn shoulder tendons | 29 | $44.6K | $1.5K | 3.74x |
| 28285 | Correction of toe joint deformity | 76 | $43.7K | $574.43 | 5.56x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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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