This provider's $19.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.56x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 79% 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 | $5.4K | $698.88 | 7.76x | $4.7K | $1.7M | 2.4K | 14 |
| 2015 | $5.2K | $693.51 | 7.56x | $4.6K | $1.7M | 2.4K | 11 |
| 2016 | $5.2K | $709.92 | 7.30x | $4.5K | $1.8M | 2.5K | 14 |
| 2017 | $6.1K | $747.48 | 8.15x | $5.3K | $1.9M | 2.6K | 16 |
| 2018 | $6.5K | $780.76 | 8.37x | $5.8K | $1.8M | 2.3K | 20 |
| 2019 | $6.7K | $772.72 | 8.66x | $5.9K | $1.8M | 2.4K | 22 |
| 2020 | $7.2K | $949.91 | 7.61x | $6.3K | $1.5M | 1.6K | 14 |
| 2021 | $1.0K | $149.21 | 6.71x | $852.70 | $2.2M | 14.5K | 16 |
| 2022 | $817.79 | $106.81 | 7.66x | $710.98 | $2.4M | 22.6K | 19 |
| 2023 | $541.03 | $82.25 | 6.58x | $458.78 | $3.0M | 36.4K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 11.5K | $9.6M | $836.43 | 7.13x |
| 27447 | Replacement of knee joint, both sides of knee | 309 | $2.3M | $7.5K | 4.19x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.9K | $1.6M | $841.03 | 7.80x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 145 | $1.1M | $7.5K | 4.85x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 460 | $851.9K | $1.9K | 7.28x |
| 29880 | Removal of both knee cartilages using an endoscope | 431 | $462.9K | $1.1K | 9.43x |
| 64721 | Release and/or relocation of hand nerve | 664 | $431.4K | $649.69 | 14.44x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 171 | $383.2K | $2.2K | 5.90x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.4K | $283.2K | $204.03 | 7.95x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 406 | $276.8K | $681.66 | 6.91x |
| 29881 | Removal of knee cartilage using an endoscope | 252 | $266.4K | $1.1K | 9.58x |
| 29848 | Release of wrist ligament using an endoscope | 324 | $194.6K | $600.54 | 10.73x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 486 | $177.0K | $364.22 | 1.36x |
| 26055 | Incision of tendon covering of finger | 337 | $176.0K | $522.30 | 19.83x |
| 66183 | Insertion of eye fluid drainage device | 69 | $153.6K | $2.2K | 6.74x |
| 26480 | Transfer of tendon to back of hand | 146 | $149.8K | $1.0K | 11.36x |
| 0191T | Internal insertion of eye fluid drainage device | 64 | $145.3K | $2.3K | 4.11x |
| 26123 | Removal of connective tissue of palm and release of finger, first digit | 105 | $115.1K | $1.1K | 11.81x |
| 67904 | Repair of tendon of upper eyelid | 218 | $114.9K | $526.87 | 11.76x |
| 25447 | Removal of bone joints between wrist and fingers | 158 | $104.9K | $663.80 | 19.50x |
This provider submits charges 7.56 times higher than what Medicare actually pays.
A markup ratio of 7.56x means for every $100 Medicare pays, this provider initially charges $756. 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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