This provider's $9.8M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 55% 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 | $2.5K | $688.23 | 3.67x | $1.8K | $797.8K | 1.3K | 1.2K |
| 2015 | $3.7K | $785.52 | 4.72x | $2.9K | $858.6K | 1.4K | 1.2K |
| 2016 | $4.5K | $765.92 | 5.91x | $3.8K | $839.3K | 1.3K | 1.2K |
| 2017 | $4.3K | $879.53 | 4.91x | $3.4K | $933.8K | 1.4K | 1.3K |
| 2018 | $4.4K | $794.38 | 5.50x | $3.6K | $957.5K | 1.5K | 1.4K |
| 2019 | $4.2K | $751.74 | 5.54x | $3.4K | $873.1K | 1.4K | 1.3K |
| 2020 | $4.9K | $1.1K | 4.38x | $3.7K | $928.3K | 1.2K | 1.1K |
| 2021 | $5.3K | $1.3K | 4.21x | $4.1K | $1.1M | 1.4K | 1.3K |
| 2022 | $6.0K | $1.5K | 4.02x | $4.5K | $1.3M | 1.3K | 1.1K |
| 2023 | $5.6K | $1.4K | 4.11x | $4.2K | $1.2M | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 1.9K | $1.2M | $614.79 | 4.27x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 347 | $674.5K | $1.9K | 4.26x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.2K | $621.5K | $286.54 | 5.38x |
| 27447 | Repair of knee joint | 74 | $549.1K | $7.4K | 3.26x |
| 26055 | Incision of tendon covering | 1.2K | $547.4K | $442.15 | 5.36x |
| 29881 | Removal of one knee cartilage using an endoscope | 529 | $537.1K | $1.0K | 3.42x |
| 29880 | Removal of both knee cartilages using an endoscope | 517 | $526.7K | $1.0K | 3.94x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 252 | $470.0K | $1.9K | 3.79x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 60 | $442.7K | $7.4K | 3.36x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 582 | $423.8K | $728.23 | 11.34x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 421 | $410.1K | $974.01 | 8.31x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 121 | $388.4K | $3.2K | 3.58x |
| 25447 | Removal of bone joints between wrist and fingers | 399 | $294.2K | $737.34 | 8.42x |
| 26485 | Transplant of tendon to palm | 239 | $224.7K | $940.16 | 4.18x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 72 | $214.6K | $3.0K | 3.90x |
| 26123 | Removal of tissue of palm | 204 | $208.8K | $1.0K | 3.63x |
| 20680 | Removal of deep bone implant | 205 | $168.1K | $820.18 | 4.18x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 299 | $167.9K | $561.46 | 4.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 620 | $160.9K | $259.60 | 5.94x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 642 | $159.2K | $247.93 | 6.22x |
This provider submits charges 4.99 times higher than what Medicare actually pays.
A markup ratio of 4.99x means for every $100 Medicare pays, this provider initially charges $499. 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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