This provider's $12.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.04x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 340% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 75% 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 | $6.6K | $883.06 | 7.44x | $5.7K | $592.3K | 546 | 534 |
| 2015 | $6.6K | $890.48 | 7.43x | $5.7K | $570.9K | 546 | 540 |
| 2016 | $9.2K | $1.3K | 7.26x | $7.9K | $829.9K | 576 | 567 |
| 2017 | $9.5K | $1.3K | 7.08x | $8.2K | $686.3K | 525 | 516 |
| 2018 | $8.9K | $1.3K | 6.98x | $7.6K | $795.0K | 668 | 647 |
| 2019 | $8.1K | $1.2K | 6.98x | $6.9K | $811.0K | 714 | 685 |
| 2020 | $13.2K | $1.7K | 7.52x | $11.4K | $1.4M | 762 | 738 |
| 2021 | $16.2K | $2.5K | 6.53x | $13.7K | $2.0M | 874 | 835 |
| 2022 | $15.0K | $1.8K | 8.18x | $13.2K | $1.9M | 812 | 793 |
| 2023 | $20.0K | $3.4K | 5.94x | $16.6K | $2.6M | 820 | 793 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 412 | $2.8M | $6.8K | 7.38x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $2.1M | $2.0K | 6.44x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 192 | $1.3M | $6.7K | 8.21x |
| 27446 | Repair of knee joint | 146 | $858.3K | $5.9K | 6.65x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 720 | $670.7K | $931.55 | 6.80x |
| 64721 | Release and/or relocation of median nerve of hand | 952 | $564.7K | $593.17 | 6.50x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 32 | $555.2K | $17.3K | 3.32x |
| 29881 | Removal of one knee cartilage using an endoscope | 469 | $450.8K | $961.28 | 6.34x |
| 28750 | Fusion of great toe | 139 | $384.8K | $2.8K | 5.37x |
| 29880 | Removal of both knee cartilages using an endoscope | 354 | $341.0K | $963.42 | 6.36x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 87 | $279.3K | $3.2K | 8.78x |
| 23430 | Anchoring of biceps tendon | 156 | $225.0K | $1.4K | 9.16x |
| 28285 | Correction of toe joint deformity | 288 | $151.9K | $527.28 | 9.78x |
| 29807 | Repair of shoulder socket cartilage using an endoscope | 85 | $148.4K | $1.7K | 6.59x |
| 20680 | Removal of deep bone implant | 177 | $134.7K | $761.24 | 6.25x |
| 26055 | Incision of tendon covering | 314 | $132.0K | $420.51 | 8.25x |
| 29806 | Incision of should joint capsule using an endoscope | 72 | $123.3K | $1.7K | 6.93x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 97 | $119.4K | $1.2K | 8.33x |
| 49505 | Repair of groin hernia patient age 5 years or older | 112 | $114.4K | $1.0K | 6.51x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 45 | $102.7K | $2.3K | 7.89x |
This provider submits charges 7.04 times higher than what Medicare actually pays.
A markup ratio of 7.04x means for every $100 Medicare pays, this provider initially charges $704. 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