This provider's $5.0M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1559% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 136% 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 | $3.3K | $988.40 | 3.37x | $2.3K | $80.1K | 87 | 85 |
| 2015 | $3.8K | $957.71 | 3.95x | $2.8K | $189.1K | 193 | 185 |
| 2016 | $3.4K | $841.60 | 4.07x | $2.6K | $187.1K | 207 | 199 |
| 2017 | $3.0K | $925.79 | 3.28x | $2.1K | $182.5K | 177 | 170 |
| 2018 | $4.0K | $1.1K | 3.72x | $2.9K | $266.1K | 255 | 248 |
| 2019 | $3.9K | $1.0K | 3.85x | $2.9K | $259.6K | 239 | 229 |
| 2020 | $7.2K | $2.0K | 3.51x | $5.1K | $447.6K | 239 | 235 |
| 2021 | $9.5K | $2.9K | 3.27x | $6.6K | $815.0K | 331 | 323 |
| 2022 | $9.2K | $2.8K | 3.32x | $6.4K | $1.2M | 370 | 358 |
| 2023 | $10.7K | $3.5K | 3.04x | $7.2K | $1.3M | 349 | 342 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint prosthesis | 116 | $955.1K | $8.2K | 3.38x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 494 | $945.1K | $1.9K | 3.35x |
| 27447 | Repair of knee joint | 118 | $895.5K | $7.6K | 3.39x |
| 27446 | Repair of knee joint, lower or upper part of joint, inside or outside area | 64 | $505.5K | $7.9K | 2.95x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 175 | $451.3K | $2.6K | 2.50x |
| 64721 | Release and/or relocation of median nerve of hand | 554 | $361.3K | $652.21 | 3.23x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 77 | $200.1K | $2.6K | 3.28x |
| 29881 | Removal of one knee cartilage using an endoscope | 110 | $116.6K | $1.1K | 3.03x |
| 26055 | Incision of tendon covering | 219 | $113.0K | $516.07 | 3.64x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 28 | $100.4K | $3.6K | 2.32x |
| 23700 | Manipulation of shoulder joint under anesthesia | 171 | $99.0K | $578.91 | 3.15x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 97 | $55.4K | $570.81 | 11.11x |
| 29821 | Removal of entire shoulder joint lining using an endoscope | 48 | $37.7K | $786.03 | 8.03x |
| 25447 | Removal of bone joints between wrist and fingers | 30 | $34.5K | $1.1K | 4.10x |
| 20205 | Deep biopsy of muscle | 29 | $27.8K | $959.37 | 3.15x |
| 29848 | Release of wrist ligament using an endoscope | 30 | $17.6K | $585.43 | 5.61x |
| 25310 | Relocation of tendon of forearm and/or wrist | 23 | $16.0K | $697.24 | 5.49x |
| 26480 | Transfer of tendon to back of hand | 13 | $16.0K | $1.2K | 2.80x |
| 25290 | Incision of tendon of forearm and/or wrist, open procedure | 25 | $14.7K | $587.62 | 6.71x |
| 25000 | Incision to repair tendon covering at wrist | 26 | $14.6K | $559.93 | 4.45x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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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