This provider's $9.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 235% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 152% 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 | $7.4K | $2.1K | 3.57x | $5.4K | $964.9K | 464 | 12 |
| 2021 | $11.7K | $3.4K | 3.47x | $8.3K | $2.4M | 721 | 11 |
| 2022 | $12.4K | $3.4K | 3.66x | $9.0K | $3.3M | 968 | 13 |
| 2023 | $13.2K | $3.6K | 3.65x | $9.6K | $3.2M | 893 | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 782 | $5.3M | $6.8K | 3.41x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 435 | $3.1M | $7.1K | 3.55x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 112 | $255.2K | $2.3K | 4.20x |
| 64721 | Release and/or relocation of hand nerve | 417 | $243.5K | $583.99 | 4.18x |
| 26055 | Incision of tendon covering of finger | 464 | $220.8K | $475.80 | 4.18x |
| 29881 | Removal of knee cartilage using an endoscope | 176 | $181.6K | $1.0K | 4.49x |
| 25447 | Removal of bone joints between wrist and fingers | 155 | $147.0K | $948.37 | 6.53x |
| 23410 | Repair of acute torn shoulder rotator cuff | 50 | $110.3K | $2.2K | 3.73x |
| 29880 | Removal of both knee cartilages using an endoscope | 84 | $85.3K | $1.0K | 4.66x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 102 | $74.5K | $730.27 | 4.38x |
| 25310 | Relocation of tendon of forearm and/or wrist | 89 | $45.1K | $506.45 | 2.54x |
| 26480 | Transfer of tendon to back of hand | 32 | $34.6K | $1.1K | 1.44x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 15 | $33.2K | $2.2K | 3.51x |
| 26123 | Removal of connective tissue of palm and release of finger, first digit | 15 | $15.9K | $1.1K | 5.16x |
| 26160 | Removal of growth of tendon finger or hand | 26 | $14.4K | $553.28 | 4.57x |
| 20680 | Removal of deep implant from bone | 15 | $12.0K | $801.96 | 4.87x |
| 27570 | Alignment of knee joint under anesthesia | 16 | $9.1K | $567.20 | 5.59x |
| 64718 | Release and/or relocation of elbow nerve | 12 | $7.8K | $648.89 | 6.86x |
| 25000 | Incision or the tendon covering on the top side of the wrist | 13 | $6.4K | $491.70 | 3.83x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 24 | $5.8K | $241.33 | 3.62x |
This provider submits charges 3.6 times higher than what Medicare actually pays.
A markup ratio of 3.6x means for every $100 Medicare pays, this provider initially charges $360. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ 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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