This provider's $6.1M in total Medicare payments ranks in the 95th 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.
Notable: Payments increased 188% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $46.7K | $12.4K | 3.75x | $34.2K | $943.2K | 82 | 82 |
| 2019 | $28.6K | $7.6K | 3.75x | $20.9K | $1.2M | 135 | 135 |
| 2020 | $32.4K | $8.8K | 3.69x | $23.6K | $1.6M | 225 | 221 |
| 2021 | $20.1K | $5.6K | 3.60x | $14.5K | $863.1K | 210 | 207 |
| 2022 | $11.8K | $3.4K | 3.47x | $8.4K | $410.9K | 133 | 133 |
| 2023 | $26.9K | $7.0K | 3.85x | $19.9K | $1.2M | 210 | 209 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 84 | $1.7M | $20.1K | 3.77x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 203 | $1.2M | $6.1K | 3.71x |
| 33264 | Removal and replacement of defibrillator pulse generator | 51 | $1.0M | $20.3K | 3.79x |
| 33263 | Removal and replacement of defibrillator pulse generator | 40 | $593.7K | $14.8K | 3.76x |
| 33285 | Insertion of heart rhythm monitor under skin | 94 | $491.5K | $5.2K | 3.43x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 87 | $398.6K | $4.6K | 3.40x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 59 | $347.8K | $5.9K | 3.72x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 230 | $238.7K | $1.0K | 3.47x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 87 | $93.9K | $1.1K | 3.32x |
| 33286 | Removal of heart rhythm monitor from under skin | 49 | $11.7K | $238.91 | 5.93x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 11 | $2.5K | $224.91 | 3.78x |
This provider submits charges 3.69 times higher than what Medicare actually pays.
A markup ratio of 3.69x means for every $100 Medicare pays, this provider initially charges $369. 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 MO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Des Peres Eye Surgery Center, Llc | Saint Louis, MO | $41.9M | ✓ 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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