This provider's $11.3M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.54x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 67% 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 | $8.2K | $672.02 | 12.20x | $7.5K | $833.9K | 1.2K | 1.1K |
| 2015 | $10.9K | $700.22 | 15.62x | $10.2K | $946.5K | 1.3K | 1.2K |
| 2016 | $11.0K | $644.15 | 17.04x | $10.3K | $948.4K | 1.4K | 1.2K |
| 2017 | $10.9K | $955.41 | 11.42x | $10.0K | $1.2M | 1.7K | 1.5K |
| 2018 | $11.2K | $688.07 | 16.28x | $10.5K | $1.3M | 1.9K | 1.6K |
| 2019 | $10.1K | $672.49 | 14.99x | $9.4K | $1.2M | 1.8K | 1.5K |
| 2020 | $10.2K | $734.89 | 13.91x | $9.5K | $925.7K | 1.3K | 1.1K |
| 2021 | $10.2K | $749.66 | 13.64x | $9.5K | $1.2M | 1.6K | 1.4K |
| 2022 | $11.7K | $826.03 | 14.16x | $10.9K | $1.3M | 1.8K | 1.6K |
| 2023 | $10.7K | $822.33 | 13.00x | $9.9K | $1.4M | 1.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.1K | $4.7M | $1.1K | 10.86x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.1K | $1.2M | $569.90 | 11.75x |
| 45380 | Biopsy of large bowel using an endoscope | 1.7K | $762.4K | $447.15 | 13.67x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.4K | $630.2K | $435.52 | 10.80x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 394 | $590.0K | $1.5K | 13.47x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.5K | $550.7K | $376.44 | 16.65x |
| 66982 | Removal of cataract with insertion of lens | 317 | $363.7K | $1.1K | 12.77x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 561 | $219.7K | $391.71 | 14.10x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 426 | $185.7K | $435.92 | 11.63x |
| 47563 | Removal of gallbladder with X-ray study of bile ducts using endoscope | 73 | $171.9K | $2.4K | 16.04x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 357 | $140.6K | $393.93 | 23.21x |
| 20680 | Removal of deep bone implant | 101 | $116.5K | $1.2K | 16.57x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 262 | $98.0K | $374.06 | 12.38x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 11 | $96.3K | $8.8K | 3.57x |
| 62322 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 284 | $95.0K | $334.54 | 12.52x |
| 64721 | Release and/or relocation of median nerve of hand | 102 | $87.2K | $854.60 | 11.56x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 161 | $81.8K | $507.88 | 23.14x |
| 47562 | Removal of gallbladder using an endoscope | 29 | $79.7K | $2.7K | 13.12x |
| 45381 | Injections of large bowel using an endoscope | 222 | $73.4K | $330.78 | 19.30x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 88 | $70.9K | $805.69 | 15.80x |
This provider submits charges 12.54 times higher than what Medicare actually pays.
A markup ratio of 12.54x means for every $100 Medicare pays, this provider initially charges $1254. 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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