This provider's $5.5M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.34x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 237% 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 | $10.2K | $869.18 | 11.69x | $9.3K | $247.4K | 277 | 266 |
| 2015 | $10.7K | $1.1K | 9.76x | $9.6K | $313.2K | 325 | 312 |
| 2016 | $10.7K | $1.0K | 10.44x | $9.7K | $280.9K | 305 | 288 |
| 2017 | $11.8K | $1.0K | 11.60x | $10.8K | $323.6K | 359 | 347 |
| 2018 | $12.2K | $1.1K | 11.28x | $11.1K | $475.5K | 516 | 493 |
| 2019 | $11.4K | $1.1K | 10.54x | $10.3K | $543.1K | 600 | 572 |
| 2020 | $12.3K | $1.4K | 8.70x | $10.9K | $608.7K | 571 | 530 |
| 2021 | $12.6K | $1.3K | 9.56x | $11.3K | $779.7K | 733 | 685 |
| 2022 | $14.7K | $1.6K | 9.39x | $13.1K | $1.1M | 914 | 859 |
| 2023 | $12.3K | $1.3K | 9.42x | $11.0K | $832.9K | 838 | 787 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 248 | $801.5K | $3.2K | 5.47x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 353 | $690.3K | $2.0K | 7.59x |
| 64721 | Release and/or relocation of median nerve of hand | 790 | $479.7K | $607.28 | 13.54x |
| 29881 | Removal of one knee cartilage using an endoscope | 459 | $471.6K | $1.0K | 13.27x |
| 26055 | Incision of tendon covering | 888 | $405.2K | $456.31 | 25.58x |
| 29848 | Release of wrist ligament using an endoscope | 666 | $403.2K | $605.41 | 15.11x |
| 29880 | Removal of both knee cartilages using an endoscope | 306 | $310.2K | $1.0K | 13.43x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 36 | $258.6K | $7.2K | 8.14x |
| 28750 | Fusion of great toe | 57 | $177.2K | $3.1K | 4.65x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 42 | $158.7K | $3.8K | 2.96x |
| 28285 | Correction of toe joint deformity | 233 | $154.6K | $663.69 | 14.03x |
| 20680 | Removal of deep bone implant | 167 | $135.5K | $811.22 | 11.53x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 49 | $119.9K | $2.4K | 6.07x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 15 | $109.3K | $7.3K | 8.09x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 174 | $104.9K | $602.72 | 7.48x |
| 26480 | Transplant of tendon of hand | 107 | $102.4K | $957.29 | 12.59x |
| 25447 | Removal of bone joints between wrist and fingers | 132 | $91.6K | $694.06 | 22.42x |
| 26123 | Removal of tissue of palm | 86 | $89.5K | $1.0K | 15.37x |
| 26160 | Removal of growth of tendon finger or hand | 122 | $65.9K | $540.56 | 14.00x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 27 | $55.4K | $2.1K | 9.69x |
This provider submits charges 11.34 times higher than what Medicare actually pays.
A markup ratio of 11.34x means for every $100 Medicare pays, this provider initially charges $1134. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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