This provider's $9.0M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.81x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 80% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 82% in 2022
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 | $6.1K | $782.69 | 7.74x | $5.3K | $818.3K | 1.8K | 1.1K |
| 2015 | $6.0K | $798.13 | 7.46x | $5.2K | $784.1K | 1.8K | 1.1K |
| 2016 | $5.7K | $619.12 | 9.22x | $5.1K | $845.3K | 2.1K | 1.3K |
| 2017 | $5.9K | $764.97 | 7.65x | $5.1K | $847.9K | 2.2K | 1.3K |
| 2018 | $6.1K | $769.43 | 7.87x | $5.3K | $808.1K | 2.0K | 1.2K |
| 2019 | $6.3K | $766.78 | 8.22x | $5.5K | $594.4K | 1.4K | 888 |
| 2020 | $6.6K | $740.40 | 8.92x | $5.9K | $543.6K | 1.2K | 817 |
| 2021 | $10.4K | $1.4K | 7.42x | $9.0K | $822.7K | 1.4K | 1.0K |
| 2022 | $10.0K | $1.3K | 7.45x | $8.6K | $1.5M | 1.6K | 1.3K |
| 2023 | $10.0K | $1.4K | 7.26x | $8.6K | $1.5M | 1.4K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.5K | $1.0M | $231.54 | 9.97x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 533 | $1.0M | $1.9K | 7.35x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 127 | $898.1K | $7.1K | 6.24x |
| 64721 | Release and/or relocation of median nerve of hand | 1.5K | $880.2K | $588.35 | 7.47x |
| 62311 | Injections of substances into lower or sacral spine | 3.0K | $831.9K | $272.92 | 6.41x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 109 | $798.2K | $7.3K | 6.03x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.6K | $440.8K | $280.43 | 8.11x |
| 26055 | Incision of tendon covering | 916 | $398.8K | $435.38 | 8.16x |
| 29881 | Removal of one knee cartilage using an endoscope | 356 | $349.0K | $980.39 | 7.85x |
| 25447 | Removal of bone joints between wrist and fingers | 222 | $200.8K | $904.64 | 9.94x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 95 | $173.1K | $1.8K | 6.28x |
| 20680 | Removal of deep bone implant | 214 | $166.9K | $779.70 | 5.01x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 660 | $166.0K | $251.58 | 9.62x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 760 | $156.7K | $206.22 | 11.18x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 173 | $141.7K | $818.82 | 12.02x |
| 29880 | Removal of both knee cartilages using an endoscope | 140 | $139.1K | $993.29 | 8.13x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 59 | $134.7K | $2.3K | 8.97x |
| 62310 | Injections of substances into upper or middle spine | 559 | $133.6K | $238.94 | 7.34x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 170 | $104.9K | $617.24 | 8.99x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 181 | $101.8K | $562.56 | 15.92x |
This provider submits charges 7.81 times higher than what Medicare actually pays.
A markup ratio of 7.81x means for every $100 Medicare pays, this provider initially charges $781. 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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