This provider's $4.0M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.31x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 2808% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 189% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.9K | $329.78 | 5.75x | $1.6K | $43.2K | 162 | 118 |
| 2015 | $2.9K | $467.19 | 6.31x | $2.5K | $77.1K | 202 | 165 |
| 2016 | $3.0K | $545.24 | 5.54x | $2.5K | $98.3K | 252 | 207 |
| 2017 | $3.3K | $568.77 | 5.86x | $2.8K | $163.4K | 319 | 279 |
| 2018 | $3.9K | $637.50 | 6.19x | $3.3K | $165.1K | 337 | 275 |
| 2019 | $4.4K | $619.92 | 7.10x | $3.8K | $201.7K | 383 | 335 |
| 2020 | $4.1K | $610.93 | 6.70x | $3.5K | $238.4K | 432 | 375 |
| 2021 | $8.0K | $1.5K | 5.20x | $6.5K | $689.3K | 805 | 671 |
| 2022 | $6.9K | $1.4K | 5.06x | $5.5K | $1.1M | 804 | 722 |
| 2023 | $7.4K | $1.5K | 5.10x | $6.0K | $1.3M | 717 | 673 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 128 | $886.4K | $6.9K | 4.61x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 92 | $648.8K | $7.1K | 3.84x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 241 | $504.3K | $2.1K | 4.20x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $332.1K | $256.05 | 6.71x |
| 27446 | Repair of knee joint, lower or upper part of joint, inside or outside area | 48 | $320.0K | $6.7K | 4.68x |
| 29880 | Removal of both knee cartilages using an endoscope | 288 | $281.1K | $975.89 | 5.44x |
| 64721 | Release and/or relocation of median nerve of hand | 326 | $186.0K | $570.52 | 5.14x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 255 | $133.4K | $523.08 | 11.01x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 407 | $97.6K | $239.84 | 6.48x |
| 26055 | Incision of tendon covering | 221 | $92.0K | $416.43 | 5.97x |
| 67974 | Reconstruction of upper eyelid by transfer of eyelid tissue from opposite eyelid | 119 | $88.7K | $745.29 | 6.15x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 117 | $66.0K | $563.91 | 7.41x |
| 20902 | Harvest of graft from large bone | 38 | $47.8K | $1.3K | 4.13x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 181 | $44.1K | $243.56 | 4.82x |
| 29848 | Release of wrist ligament using an endoscope | 83 | $43.2K | $520.19 | 8.38x |
| 29881 | Removal of one knee cartilage using an endoscope | 47 | $41.2K | $877.49 | 6.04x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 149 | $35.1K | $235.48 | 6.53x |
| 67973 | Reconstruction of lower eyelid by transfer of eyelid tissue from opposite eyelid | 98 | $34.2K | $349.30 | 18.25x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 28 | $18.0K | $643.27 | 8.95x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 37 | $15.3K | $414.01 | 4.24x |
This provider submits charges 5.31 times higher than what Medicare actually pays.
A markup ratio of 5.31x means for every $100 Medicare pays, this provider initially charges $531. 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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