This provider's $13.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.58x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 8760% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1269% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $2.5K | $350.62 | 7.26x | $2.2K | $38.9K | 111 | 3 |
| 2017 | $3.0K | $380.44 | 7.89x | $2.6K | $532.6K | 1.4K | 16 |
| 2018 | $3.5K | $411.42 | 8.58x | $3.1K | $846.3K | 2.1K | 21 |
| 2019 | $3.7K | $439.28 | 8.53x | $3.3K | $874.6K | 2.0K | 21 |
| 2020 | $6.2K | $730.77 | 8.52x | $5.5K | $1.5M | 2.0K | 20 |
| 2021 | $8.2K | $964.72 | 8.49x | $7.2K | $3.0M | 3.1K | 25 |
| 2022 | $9.6K | $1.1K | 8.77x | $8.5K | $3.2M | 3.0K | 25 |
| 2023 | $10.0K | $1.2K | 8.65x | $8.9K | $3.4M | 3.0K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 651 | $4.3M | $6.7K | 8.78x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 318 | $2.2M | $6.9K | 8.54x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 7.8K | $1.9M | $244.47 | 9.12x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 473 | $685.1K | $1.4K | 9.28x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 314 | $683.9K | $2.2K | 6.25x |
| 64721 | Release and/or relocation of hand nerve | 948 | $557.3K | $587.85 | 7.16x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 124 | $390.2K | $3.1K | 4.25x |
| 26055 | Incision of tendon covering of finger | 747 | $325.0K | $435.05 | 10.11x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 993 | $259.8K | $261.62 | 9.61x |
| 29881 | Removal of knee cartilage using an endoscope | 204 | $202.0K | $990.40 | 7.23x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 338 | $170.7K | $505.17 | 14.50x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 256 | $153.0K | $597.58 | 7.34x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 286 | $148.6K | $519.49 | 13.89x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 643 | $146.9K | $228.40 | 7.51x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 575 | $138.5K | $240.93 | 7.24x |
| 29880 | Removal of both knee cartilages using an endoscope | 137 | $136.3K | $994.60 | 7.30x |
| 25447 | Removal of bone joints between wrist and fingers | 145 | $121.0K | $834.74 | 8.63x |
| 28750 | Fusion of great toe at the joint with the foot | 36 | $108.6K | $3.0K | 4.43x |
| 20680 | Removal of deep implant from bone | 135 | $106.2K | $786.90 | 5.37x |
| 64718 | Release and/or relocation of elbow nerve | 243 | $95.9K | $394.76 | 10.61x |
This provider submits charges 8.58 times higher than what Medicare actually pays.
A markup ratio of 8.58x means for every $100 Medicare pays, this provider initially charges $858. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cei Physicians Psc Llc | Blue Ash, OH | $43.6M | ✓ Clear |
| The Urology Center Llc | Cincinnati, OH | $37.6M | ✓ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | ✓ 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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