This provider's $12.8M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.52x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 357% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 132% in 2021
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 | $9.4K | $956.40 | 9.81x | $8.4K | $605.3K | 1.0K | 892 |
| 2015 | $5.5K | $508.58 | 10.78x | $5.0K | $451.7K | 1.1K | 958 |
| 2016 | $10.0K | $836.92 | 11.99x | $9.2K | $620.2K | 1.2K | 1.1K |
| 2017 | $10.7K | $794.66 | 13.45x | $9.9K | $721.0K | 1.2K | 1.0K |
| 2018 | $10.9K | $895.90 | 12.20x | $10.0K | $758.1K | 1.1K | 926 |
| 2019 | $15.9K | $1.7K | 9.11x | $14.2K | $979.8K | 1.1K | 963 |
| 2020 | $14.9K | $1.3K | 11.16x | $13.6K | $880.6K | 790 | 721 |
| 2021 | $22.0K | $2.5K | 8.97x | $19.5K | $2.0M | 1.1K | 1.0K |
| 2022 | $27.2K | $3.7K | 7.43x | $23.5K | $3.0M | 981 | 918 |
| 2023 | $31.2K | $4.2K | 7.52x | $27.1K | $2.8M | 753 | 720 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 480 | $3.2M | $6.8K | 11.10x |
| 27446 | Repair of knee joint | 366 | $2.2M | $6.1K | 9.89x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 237 | $1.6M | $6.9K | 12.33x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 65 | $1.2M | $18.0K | 4.42x |
| 64721 | Release and/or relocation of median nerve of hand | 1.9K | $1.1M | $584.62 | 10.60x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 372 | $663.8K | $1.8K | 11.48x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.0K | $441.7K | $223.42 | 13.49x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 26 | $343.5K | $13.2K | 4.18x |
| 26055 | Incision of tendon covering | 674 | $322.0K | $477.78 | 13.17x |
| 62311 | Injections of substances into lower or sacral spine | 998 | $258.6K | $259.11 | 10.54x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 871 | $234.4K | $269.11 | 10.50x |
| 29881 | Removal of one knee cartilage using an endoscope | 207 | $195.9K | $946.24 | 10.94x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 62 | $127.8K | $2.1K | 10.06x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 462 | $107.6K | $232.83 | 16.22x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 92 | $85.3K | $926.96 | 13.90x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 354 | $78.1K | $220.51 | 13.67x |
| 29880 | Removal of both knee cartilages using an endoscope | 81 | $73.7K | $910.17 | 11.07x |
| 26123 | Removal of tissue of palm | 70 | $69.1K | $986.86 | 10.92x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 111 | $64.0K | $576.23 | 8.78x |
| 62310 | Injections of substances into upper or middle spine | 207 | $54.3K | $262.30 | 10.34x |
This provider submits charges 10.52 times higher than what Medicare actually pays.
A markup ratio of 10.52x means for every $100 Medicare pays, this provider initially charges $1052. 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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