This provider's $22.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.97x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 329% from 2020 to 2023.
64% of their billing comes from a single procedure code (27447 — Replacement of knee joint, both sides of knee).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 200% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $55.0K | $6.6K | 8.36x | $48.4K | $1.9M | 296 | 1 |
| 2021 | $55.0K | $6.8K | 8.09x | $48.2K | $5.8M | 860 | 2 |
| 2022 | $55.0K | $6.8K | 8.05x | $48.1K | $6.5M | 952 | 2 |
| 2023 | $54.9K | $7.1K | 7.73x | $47.8K | $8.4M | 1.2K | 2 |
This provider submits charges 7.97 times higher than what Medicare actually pays.
A markup ratio of 7.97x means for every $100 Medicare pays, this provider initially charges $797. 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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