This provider's $26.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.52x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 80% from 2014 to 2023.
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 | $4.4K | $503.34 | 8.83x | $3.9K | $1.6M | 3.3K | 30 |
| 2015 | $4.5K | $450.82 | 9.92x | $4.0K | $1.5M | 3.4K | 29 |
| 2016 | $4.6K | $462.51 | 10.00x | $4.2K | $1.8M | 3.9K | 32 |
| 2017 | $4.8K | $446.63 | 10.66x | $4.3K | $2.4M | 5.3K | 36 |
| 2018 | $5.1K | $492.77 | 10.32x | $4.6K | $3.5M | 7.2K | 43 |
| 2019 | $5.2K | $521.24 | 10.00x | $4.7K | $3.3M | 6.4K | 42 |
| 2020 | $2.9K | $318.26 | 9.24x | $2.6K | $3.0M | 9.4K | 38 |
| 2021 | $2.7K | $304.97 | 8.84x | $2.4K | $3.1M | 10.0K | 40 |
| 2022 | $3.1K | $360.00 | 8.64x | $2.8K | $3.0M | 8.4K | 37 |
| 2023 | $3.9K | $431.77 | 8.93x | $3.4K | $3.0M | 6.9K | 37 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 5.8K | $4.6M | $790.31 | 7.98x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 8.1K | $2.6M | $326.31 | 15.14x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 5.6K | $2.2M | $391.35 | 12.65x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 4.7K | $1.1M | $236.62 | 15.38x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.6K | $988.8K | $373.83 | 8.12x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.9K | $684.7K | $362.67 | 7.96x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 2.3K | $644.4K | $274.58 | 18.02x |
| 49650 | Repair of groin hernia using an endoscope | 411 | $642.0K | $1.6K | 5.79x |
| 64721 | Release and/or relocation of hand nerve | 966 | $585.5K | $606.12 | 8.85x |
| V2785 | Processing, preserving and transporting corneal tissue | 168 | $541.6K | $3.2K | 1.76x |
| 36561 | Insertion of central venous tube with port (5 years or older) | 474 | $489.9K | $1.0K | 7.00x |
| 50590 | Shock wave crushing of kidney stones | 407 | $486.9K | $1.2K | 7.46x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 316 | $475.7K | $1.5K | 6.85x |
| C2638 | Brachytherapy source, stranded, iodine-125, per source | 14.0K | $405.3K | $28.89 | 3.88x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 503 | $398.1K | $791.53 | 7.94x |
| 49505 | Repair of groin hernia (5 years or older) | 340 | $365.1K | $1.1K | 6.75x |
| 55875 | Insertion of needle or tube into prostate for radiation therapy | 216 | $359.2K | $1.7K | 4.92x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 246 | $354.8K | $1.4K | 5.90x |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 683 | $352.9K | $516.72 | 7.18x |
| 52332 | Insertion of stent in ureter using an endoscope | 442 | $349.8K | $791.45 | 8.00x |
This provider submits charges 9.52 times higher than what Medicare actually pays.
A markup ratio of 9.52x means for every $100 Medicare pays, this provider initially charges $952. 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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