This provider's $6.1M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 918% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 160% 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 | $3.2K | $928.82 | 3.40x | $2.2K | $213.4K | 249 | 241 |
| 2015 | $3.3K | $900.91 | 3.64x | $2.4K | $224.0K | 265 | 258 |
| 2016 | $3.6K | $886.75 | 4.03x | $2.7K | $326.5K | 363 | 349 |
| 2017 | $3.7K | $875.70 | 4.25x | $2.8K | $282.2K | 338 | 331 |
| 2018 | $4.0K | $940.39 | 4.21x | $3.0K | $336.9K | 378 | 365 |
| 2019 | $4.0K | $848.10 | 4.74x | $3.2K | $378.0K | 439 | 426 |
| 2020 | $4.6K | $1.1K | 4.19x | $3.5K | $982.8K | 742 | 703 |
| 2021 | $6.9K | $1.7K | 4.12x | $5.2K | $1.2M | 510 | 499 |
| 2023 | $6.0K | $1.5K | 3.95x | $4.5K | $2.2M | 899 | 870 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 331 | $2.3M | $6.8K | 3.67x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 127 | $894.5K | $7.0K | 3.84x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 262 | $454.1K | $1.7K | 3.41x |
| 29881 | Removal of one knee cartilage using an endoscope | 365 | $342.8K | $939.28 | 3.44x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 151 | $297.7K | $2.0K | 2.99x |
| 29880 | Removal of both knee cartilages using an endoscope | 216 | $206.5K | $955.84 | 3.45x |
| 29848 | Release of wrist ligament using an endoscope | 385 | $205.6K | $533.93 | 5.98x |
| 23430 | Anchoring of biceps tendon | 89 | $194.3K | $2.2K | 3.02x |
| 26055 | Incision of tendon covering | 361 | $153.4K | $425.04 | 5.40x |
| 64721 | Release and/or relocation of median nerve of hand | 249 | $139.1K | $558.62 | 4.12x |
| 25447 | Removal of bone joints between wrist and fingers | 183 | $134.8K | $736.59 | 5.66x |
| 20680 | Removal of deep bone implant | 174 | $132.6K | $762.09 | 4.22x |
| 26480 | Transplant of tendon of hand | 142 | $106.8K | $751.81 | 4.35x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 164 | $102.9K | $627.24 | 8.81x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 99 | $82.7K | $834.94 | 6.42x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 31 | $73.3K | $2.4K | 3.40x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 118 | $70.8K | $600.15 | 5.58x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 82 | $49.3K | $600.73 | 3.43x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 91 | $44.6K | $489.69 | 4.61x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 17 | $33.7K | $2.0K | 3.87x |
This provider submits charges 3.96 times higher than what Medicare actually pays.
A markup ratio of 3.96x means for every $100 Medicare pays, this provider initially charges $396. 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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