This provider's $5.9M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.13x is significantly above the specialty median of 6.1x.
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 | $2.7K | $646.81 | 4.10x | $2.0K | $527.1K | 1.2K | 863 |
| 2015 | $3.2K | $596.63 | 5.31x | $2.6K | $469.9K | 1.1K | 856 |
| 2016 | $3.7K | $684.69 | 5.39x | $3.0K | $620.7K | 1.3K | 972 |
| 2017 | $2.9K | $549.03 | 5.26x | $2.3K | $543.2K | 1.3K | 1.0K |
| 2018 | $3.8K | $875.44 | 4.38x | $3.0K | $777.5K | 1.5K | 1.1K |
| 2019 | $3.2K | $637.45 | 5.06x | $2.6K | $576.5K | 1.0K | 861 |
| 2020 | $4.1K | $826.96 | 4.92x | $3.2K | $490.1K | 572 | 531 |
| 2021 | $4.5K | $956.37 | 4.74x | $3.6K | $515.2K | 524 | 494 |
| 2022 | $5.1K | $1.1K | 4.48x | $4.0K | $655.5K | 579 | 544 |
| 2023 | $4.7K | $1.2K | 3.93x | $3.5K | $736.2K | 675 | 634 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 824 | $1.6M | $2.0K | 6.67x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $397.1K | $223.61 | 5.05x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 677 | $376.6K | $556.34 | 3.83x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 401 | $310.1K | $773.20 | 3.69x |
| 23430 | Anchoring of biceps tendon | 161 | $229.1K | $1.4K | 3.94x |
| 64721 | Release and/or relocation of median nerve of hand | 397 | $212.6K | $535.43 | 4.62x |
| 29881 | Removal of one knee cartilage using an endoscope | 210 | $193.1K | $919.42 | 5.26x |
| 27447 | Replacement of knee joint, both sides of knee | 27 | $186.8K | $6.9K | 3.61x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 113 | $165.7K | $1.5K | 4.42x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 114 | $164.8K | $1.4K | 4.23x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 722 | $153.7K | $212.87 | 4.55x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 723 | $151.5K | $209.56 | 6.67x |
| 62311 | Injections of substances into lower or sacral spine | 584 | $149.7K | $256.26 | 5.24x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 135 | $124.3K | $920.68 | 3.37x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 35 | $111.0K | $3.2K | 5.02x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 105 | $98.3K | $936.51 | 3.57x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 20 | $95.9K | $4.8K | 2.49x |
| 26055 | Incision of tendon covering | 216 | $92.4K | $427.97 | 3.67x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 433 | $86.2K | $199.07 | 5.87x |
| 25447 | Removal of bone joints between wrist and fingers | 101 | $82.8K | $819.67 | 6.55x |
This provider submits charges 5.13 times higher than what Medicare actually pays.
A markup ratio of 5.13x means for every $100 Medicare pays, this provider initially charges $513. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data