This provider's $4.6M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.19x 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 | $4.9K | $1.2K | 4.19x | $3.8K | $463.6K | 441 | 427 |
| 2015 | $4.9K | $1.2K | 4.18x | $3.7K | $438.7K | 406 | 393 |
| 2016 | $4.6K | $962.64 | 4.78x | $3.6K | $357.7K | 387 | 373 |
| 2017 | $5.5K | $1.2K | 4.49x | $4.3K | $483.1K | 476 | 462 |
| 2018 | $5.7K | $1.2K | 4.94x | $4.6K | $458.7K | 440 | 428 |
| 2019 | $5.4K | $1.1K | 5.02x | $4.3K | $465.8K | 498 | 481 |
| 2020 | $5.6K | $1.2K | 4.50x | $4.3K | $567.9K | 532 | 511 |
| 2021 | $5.0K | $970.38 | 5.16x | $4.0K | $497.6K | 507 | 490 |
| 2022 | $5.0K | $1.0K | 4.88x | $4.0K | $431.9K | 412 | 401 |
| 2023 | $5.3K | $1.3K | 3.91x | $3.9K | $434.8K | 398 | 385 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 496 | $909.0K | $1.8K | 4.33x |
| 29848 | Release of wrist ligament using an endoscope | 936 | $532.2K | $568.58 | 9.46x |
| 29881 | Removal of one knee cartilage using an endoscope | 428 | $449.6K | $1.1K | 3.90x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 199 | $447.9K | $2.3K | 3.56x |
| 25447 | Removal of bone joints between wrist and fingers | 336 | $322.7K | $960.43 | 6.00x |
| 29880 | Removal of both knee cartilages using an endoscope | 309 | $321.8K | $1.0K | 3.92x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 327 | $317.2K | $970.08 | 8.12x |
| 20680 | Removal of deep bone implant | 248 | $211.4K | $852.24 | 3.79x |
| 64721 | Release and/or relocation of median nerve of hand | 285 | $174.2K | $611.37 | 4.15x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 54 | $174.1K | $3.2K | 2.91x |
| 26055 | Incision of tendon covering | 248 | $107.8K | $434.80 | 5.39x |
| 26480 | Transplant of tendon of hand | 120 | $107.8K | $898.25 | 4.49x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 23 | $76.1K | $3.3K | 2.97x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 23 | $72.6K | $3.2K | 2.82x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 115 | $70.1K | $609.26 | 4.41x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 118 | $69.1K | $585.91 | 13.77x |
| 29884 | Repair of knee joint and removal of scar tissue using an endoscope | 49 | $52.2K | $1.1K | 3.80x |
| 28750 | Fusion of great toe | 11 | $39.7K | $3.6K | 2.67x |
| 29876 | Removal of joint lining from two or more knee joint compartments using an endoscope | 44 | $39.5K | $898.00 | 4.46x |
| 26160 | Removal of growth of tendon finger or hand | 52 | $28.9K | $555.40 | 4.37x |
This provider submits charges 5.19 times higher than what Medicare actually pays.
A markup ratio of 5.19x means for every $100 Medicare pays, this provider initially charges $519. 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.
Other Ambulatory Surgical Center providers in OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ Clear |
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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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