This provider's $7.8M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.97x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 167% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2020
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 | $6.2K | $935.04 | 6.60x | $5.2K | $521.7K | 989 | 783 |
| 2015 | $7.7K | $965.17 | 7.98x | $6.7K | $556.6K | 931 | 775 |
| 2016 | $8.1K | $1.0K | 7.94x | $7.1K | $660.4K | 975 | 817 |
| 2017 | $8.2K | $938.89 | 8.73x | $7.3K | $572.6K | 947 | 793 |
| 2018 | $8.6K | $984.54 | 8.70x | $7.6K | $595.9K | 906 | 755 |
| 2019 | $7.9K | $916.04 | 8.65x | $7.0K | $541.4K | 925 | 779 |
| 2020 | $9.3K | $1.3K | 7.30x | $8.0K | $905.6K | 1.1K | 872 |
| 2021 | $8.9K | $1.2K | 7.70x | $7.8K | $954.3K | 1.3K | 974 |
| 2022 | $10.8K | $1.4K | 7.46x | $9.4K | $1.1M | 1.3K | 1.0K |
| 2023 | $10.8K | $1.5K | 7.18x | $9.3K | $1.4M | 1.2K | 966 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27446 | Repair of knee joint | 288 | $1.7M | $5.9K | 6.49x |
| 27447 | Repair of knee joint | 190 | $1.3M | $6.8K | 6.08x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 601 | $1.0M | $1.7K | 6.12x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.7K | $669.3K | $244.73 | 7.76x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 255 | $508.6K | $2.0K | 5.20x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 832 | $505.0K | $607.01 | 5.80x |
| 29881 | Removal of one knee cartilage using an endoscope | 298 | $282.7K | $948.61 | 10.08x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 40 | $273.1K | $6.8K | 6.40x |
| 64721 | Release and/or relocation of median nerve of hand | 460 | $262.8K | $571.30 | 13.91x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 416 | $250.8K | $602.97 | 16.03x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 981 | $227.9K | $232.36 | 8.44x |
| 29880 | Removal of both knee cartilages using an endoscope | 224 | $207.4K | $925.96 | 10.23x |
| 26055 | Incision of tendon covering | 348 | $159.9K | $459.54 | 17.66x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 357 | $83.7K | $234.34 | 11.01x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 353 | $77.7K | $220.01 | 6.04x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 82 | $50.3K | $612.81 | 6.35x |
| 20680 | Removal of deep bone implant | 56 | $44.7K | $797.64 | 6.68x |
| 62310 | Injections of substances into upper or middle spine | 163 | $42.1K | $258.34 | 7.01x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 11 | $34.3K | $3.1K | 3.37x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 128 | $32.1K | $251.10 | 7.99x |
This provider submits charges 7.97 times higher than what Medicare actually pays.
A markup ratio of 7.97x means for every $100 Medicare pays, this provider initially charges $797. 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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