This provider's $5.2M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.25x is significantly above the specialty median of 6.1x.
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 | $7.6K | $756.61 | 10.02x | $6.8K | $474.3K | 947 | 739 |
| 2015 | $7.2K | $746.48 | 9.69x | $6.5K | $527.4K | 1.1K | 845 |
| 2016 | $7.5K | $729.12 | 10.24x | $6.7K | $525.6K | 1.1K | 849 |
| 2017 | $6.9K | $641.92 | 10.77x | $6.3K | $473.7K | 927 | 739 |
| 2018 | $7.5K | $667.98 | 11.22x | $6.8K | $563.9K | 1.0K | 794 |
| 2019 | $7.8K | $729.59 | 10.69x | $7.1K | $482.6K | 862 | 695 |
| 2020 | $8.2K | $764.31 | 10.70x | $7.4K | $457.9K | 674 | 575 |
| 2021 | $9.6K | $1.1K | 8.45x | $8.4K | $540.5K | 429 | 414 |
| 2022 | $10.3K | $1.1K | 9.77x | $9.3K | $506.0K | 368 | 365 |
| 2023 | $10.8K | $1.5K | 7.35x | $9.3K | $688.7K | 426 | 421 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $2.0M | $2.0K | 6.98x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 280 | $623.7K | $2.2K | 6.13x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 637 | $459.8K | $721.77 | 18.92x |
| 29880 | Removal of both knee cartilages using an endoscope | 355 | $356.7K | $1.0K | 13.56x |
| 29881 | Removal of one knee cartilage using an endoscope | 337 | $347.2K | $1.0K | 7.95x |
| 64721 | Release and/or relocation of median nerve of hand | 487 | $298.8K | $613.64 | 8.37x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 340 | $243.5K | $716.05 | 19.07x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 845 | $202.0K | $239.07 | 12.55x |
| C9781 | Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed | 21 | $108.4K | $5.2K | 1.87x |
| 62311 | Injections of substances into lower or sacral spine | 402 | $99.2K | $246.65 | 12.71x |
| 26055 | Incision of tendon covering | 143 | $68.2K | $476.91 | 9.66x |
| 49505 | Repair of groin hernia patient age 5 years or older | 55 | $60.2K | $1.1K | 8.02x |
| 25447 | Removal of bone joints between wrist and fingers | 63 | $49.7K | $789.10 | 13.30x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 352 | $47.7K | $135.51 | 23.14x |
| 20680 | Removal of deep bone implant | 60 | $47.5K | $791.59 | 7.66x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.0K | $40.8K | $20.89 | 79.35x |
| 29855 | Treatment of broken upper portion of the leg bone (tibia) with assistance of an endoscope on one side | 11 | $34.4K | $3.1K | 4.36x |
| 29879 | Repair of knee joint using an endoscope | 54 | $30.4K | $563.56 | 14.48x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 83 | $21.7K | $261.10 | 11.49x |
| 26145 | Repair of tendon, finger and/or hand | 49 | $18.3K | $374.19 | 12.32x |
This provider submits charges 10.25 times higher than what Medicare actually pays.
A markup ratio of 10.25x means for every $100 Medicare pays, this provider initially charges $1025. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| West Suburban Eye Surgery Center Llc | Waltham, MA | $37.4M | ✓ 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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