This provider's $6.4M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.07x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 76% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2023
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 | $9.0K | $589.34 | 15.31x | $8.4K | $529.1K | 1.1K | 893 |
| 2015 | $9.1K | $563.44 | 16.09x | $8.5K | $496.2K | 1.1K | 843 |
| 2016 | $9.0K | $632.33 | 14.29x | $8.4K | $482.0K | 971 | 759 |
| 2017 | $9.2K | $693.42 | 13.20x | $8.5K | $463.0K | 945 | 752 |
| 2018 | $8.8K | $791.18 | 11.07x | $8.0K | $573.5K | 1.1K | 896 |
| 2019 | $9.0K | $711.86 | 12.59x | $8.2K | $559.3K | 1.0K | 815 |
| 2020 | $15.1K | $2.5K | 6.14x | $12.6K | $767.7K | 584 | 502 |
| 2021 | $14.7K | $2.4K | 6.08x | $12.2K | $1.1M | 725 | 627 |
| 2022 | $10.6K | $960.41 | 11.06x | $9.7K | $567.9K | 666 | 596 |
| 2023 | $12.6K | $1.3K | 9.39x | $11.2K | $933.1K | 813 | 734 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 1.3K | $775.4K | $594.16 | 15.46x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 348 | $574.0K | $1.6K | 10.12x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 28 | $541.3K | $19.3K | 2.48x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.0K | $533.7K | $273.11 | 8.62x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 134 | $495.6K | $3.7K | 3.70x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 98 | $334.9K | $3.4K | 6.70x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 152 | $322.3K | $2.1K | 7.87x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 95 | $311.3K | $3.3K | 5.88x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 529 | $305.2K | $577.01 | 5.66x |
| 29880 | Removal of both knee cartilages using an endoscope | 297 | $303.7K | $1.0K | 14.96x |
| 26055 | Incision of tendon covering | 539 | $249.0K | $461.91 | 33.35x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 28 | $227.9K | $8.1K | 7.14x |
| 29881 | Removal of one knee cartilage using an endoscope | 223 | $226.3K | $1.0K | 15.07x |
| 28285 | Correction of toe joint deformity | 317 | $187.5K | $591.37 | 21.64x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 687 | $169.5K | $246.68 | 15.53x |
| 27447 | Replacement of knee joint, both sides of knee | 16 | $112.3K | $7.0K | 7.04x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 307 | $72.5K | $236.01 | 11.40x |
| 20680 | Removal of deep bone implant | 87 | $71.3K | $819.68 | 12.81x |
| 28308 | Incision to straighten toe bone | 88 | $68.0K | $772.29 | 16.45x |
| 62310 | Injections of substances into upper or middle spine | 222 | $62.0K | $279.29 | 7.77x |
This provider submits charges 11.07 times higher than what Medicare actually pays.
A markup ratio of 11.07x means for every $100 Medicare pays, this provider initially charges $1107. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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