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 5.74x 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 68% in 2017
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 | $5.3K | $1.3K | 4.22x | $4.0K | $850.4K | 1.3K | 765 |
| 2015 | $6.4K | $1.4K | 4.63x | $5.0K | $1.2M | 1.5K | 857 |
| 2016 | $7.6K | $1.4K | 5.57x | $6.3K | $1.6M | 1.6K | 924 |
| 2017 | $9.2K | $2.1K | 4.30x | $7.0K | $2.6M | 1.7K | 1.1K |
| 2018 | $12.6K | $2.4K | 5.25x | $10.2K | $2.4M | 1.5K | 975 |
| 2019 | $10.9K | $2.1K | 5.19x | $8.8K | $2.6M | 1.6K | 1.1K |
| 2020 | $10.5K | $1.9K | 5.38x | $8.5K | $1.7M | 1.2K | 817 |
| 2021 | $12.8K | $2.5K | 5.17x | $10.4K | $2.5M | 1.5K | 973 |
| 2022 | $12.3K | $2.5K | 5.00x | $9.8K | $2.1M | 1.5K | 1.0K |
| 2023 | $10.1K | $1.9K | 5.19x | $8.2K | $2.3M | 1.6K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 518 | $9.0M | $17.5K | 3.46x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 831 | $2.9M | $3.5K | 4.34x |
| 66984 | Removal of cataract with insertion of lens | 2.6K | $2.0M | $792.36 | 9.10x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 129 | $1.2M | $9.0K | 5.99x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 67 | $710.2K | $10.6K | 5.12x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.3K | $536.2K | $236.10 | 15.97x |
| 62311 | Injections of substances into lower or sacral spine | 1.5K | $407.9K | $274.70 | 13.69x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 667 | $363.5K | $544.95 | 6.16x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.0K | $253.5K | $251.22 | 13.39x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 786 | $224.3K | $285.39 | 12.80x |
| 64721 | Release and/or relocation of median nerve of hand | 357 | $202.1K | $566.24 | 6.45x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 12 | $170.0K | $14.2K | 1.39x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 776 | $169.2K | $218.04 | 17.80x |
| 65820 | Incision to improve eye fluid flow | 110 | $165.3K | $1.5K | 3.69x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 240 | $145.2K | $604.85 | 8.39x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 560 | $131.6K | $235.07 | 16.06x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 447 | $115.5K | $258.42 | 13.36x |
| 28750 | Fusion of great toe | 40 | $110.7K | $2.8K | 4.98x |
| 66982 | Complex removal of cataract with insertion of lens | 118 | $95.0K | $805.09 | 6.52x |
| 63663 | Revision and replacement of spinal neurostimulator electrodes | 27 | $90.1K | $3.3K | 4.72x |
This provider submits charges 5.74 times higher than what Medicare actually pays.
A markup ratio of 5.74x means for every $100 Medicare pays, this provider initially charges $574. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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