This provider's $13.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.98x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1555% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 132% in 2015
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 | $650.53 | $375.76 | 1.73x | $274.77 | $153.8K | 416 | 273 |
| 2015 | $2.9K | $487.56 | 6.01x | $2.4K | $356.4K | 703 | 433 |
| 2016 | $7.8K | $2.3K | 3.36x | $5.5K | $797.4K | 911 | 586 |
| 2017 | $4.6K | $715.57 | 6.47x | $3.9K | $691.5K | 906 | 626 |
| 2018 | $6.4K | $1.7K | 3.83x | $4.7K | $1.3M | 1.2K | 806 |
| 2019 | $10.4K | $1.9K | 5.49x | $8.5K | $1.7M | 1.3K | 960 |
| 2020 | $9.7K | $1.5K | 6.39x | $8.2K | $1.3M | 1.3K | 1.0K |
| 2021 | $11.3K | $1.6K | 6.88x | $9.6K | $1.7M | 1.6K | 1.2K |
| 2022 | $16.5K | $2.0K | 8.30x | $14.5K | $2.4M | 1.3K | 1.1K |
| 2023 | $17.0K | $2.0K | 8.31x | $14.9K | $2.5M | 1.5K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 157 | $3.2M | $20.6K | 2.25x |
| 66984 | Removal of cataract with insertion of lens | 3.5K | $3.0M | $859.39 | 8.00x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 302 | $1.2M | $4.0K | 5.15x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 117 | $870.7K | $7.4K | 10.87x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 744 | $500.1K | $672.20 | 4.10x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 191 | $424.9K | $2.2K | 10.03x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 44 | $349.6K | $7.9K | 10.27x |
| 0191T | Internal insertion of eye fluid drainage device | 146 | $339.9K | $2.3K | 3.49x |
| 66982 | Removal of cataract with insertion of lens | 378 | $320.7K | $848.48 | 8.88x |
| 23430 | Anchoring of biceps tendon | 177 | $317.6K | $1.8K | 12.25x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 22 | $258.8K | $11.8K | 3.31x |
| 62311 | Injections of substances into lower or sacral spine | 522 | $160.0K | $306.42 | 5.69x |
| 45380 | Biopsy of large bowel using an endoscope | 405 | $159.1K | $392.74 | 10.29x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 235 | $154.2K | $656.32 | 3.74x |
| 64721 | Release and/or relocation of median nerve of hand | 228 | $149.4K | $655.21 | 14.33x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 301 | $138.0K | $458.58 | 8.81x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 426 | $117.6K | $276.12 | 11.61x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 387 | $114.6K | $296.18 | 17.01x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 250 | $103.0K | $411.82 | 4.90x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 368 | $92.9K | $252.50 | 11.76x |
This provider submits charges 6.98 times higher than what Medicare actually pays.
A markup ratio of 6.98x means for every $100 Medicare pays, this provider initially charges $698. 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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