This provider's $4.8M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.1x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 3531% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 504% 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 | $2.0K | $635.68 | 3.18x | $1.4K | $32.4K | 51 | 45 |
| 2017 | $2.0K | $386.67 | 5.13x | $1.6K | $195.8K | 456 | 368 |
| 2018 | $2.5K | $468.52 | 5.28x | $2.0K | $428.7K | 894 | 732 |
| 2019 | $3.0K | $582.78 | 5.10x | $2.4K | $777.0K | 1.4K | 1.2K |
| 2020 | $2.5K | $548.92 | 4.56x | $2.0K | $478.4K | 879 | 756 |
| 2021 | $2.7K | $590.00 | 4.62x | $2.1K | $773.2K | 1.4K | 1.2K |
| 2022 | $3.4K | $705.14 | 4.81x | $2.7K | $911.6K | 1.4K | 1.2K |
| 2023 | $5.7K | $1.1K | 5.38x | $4.6K | $1.2M | 1.4K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 1.0K | $831.5K | $815.15 | 4.88x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 340 | $378.2K | $1.1K | 5.17x |
| V2785 | Processing, preserving and transporting corneal tissue | 81 | $260.1K | $3.2K | 1.28x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 16 | $251.7K | $15.7K | 4.73x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 56 | $220.6K | $3.9K | 4.81x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 228 | $206.3K | $904.94 | 5.79x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 471 | $198.7K | $421.94 | 4.78x |
| 45380 | Biopsy of large bowel using an endoscope | 531 | $183.7K | $346.00 | 5.89x |
| 66982 | Removal of cataract with insertion of lens | 220 | $179.0K | $813.55 | 5.03x |
| 38222 | Bone marrow biopsy and aspiration | 274 | $176.6K | $644.62 | 5.73x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 258 | $162.7K | $630.55 | 4.94x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 473 | $131.3K | $277.50 | 6.76x |
| 50200 | Needle biopsy of kidney, accessed through the skin | 279 | $130.3K | $467.04 | 4.86x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 152 | $92.0K | $605.16 | 5.66x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 44 | $80.1K | $1.8K | 4.46x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 307 | $78.9K | $257.00 | 4.94x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 259 | $68.3K | $263.89 | 5.97x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 38 | $59.3K | $1.6K | 4.83x |
| 36590 | Removal of peripheral venous catheter for infusion | 157 | $58.2K | $370.90 | 6.81x |
| 64721 | Release and/or relocation of median nerve of hand | 91 | $57.5K | $631.49 | 5.23x |
This provider submits charges 5.1 times higher than what Medicare actually pays.
A markup ratio of 5.1x means for every $100 Medicare pays, this provider initially charges $510. 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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