This provider's $5.1M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.24x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 441% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2022
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 | $3.8K | $390.59 | 9.79x | $3.4K | $182.5K | 398 | 299 |
| 2015 | $7.0K | $704.07 | 10.00x | $6.3K | $178.5K | 251 | 185 |
| 2016 | $6.8K | $595.36 | 11.34x | $6.2K | $302.2K | 501 | 366 |
| 2017 | $7.1K | $598.79 | 11.91x | $6.5K | $402.6K | 688 | 501 |
| 2018 | $9.4K | $854.87 | 11.00x | $8.5K | $391.1K | 554 | 418 |
| 2019 | $9.0K | $969.63 | 9.24x | $8.0K | $581.0K | 702 | 551 |
| 2020 | $9.3K | $713.03 | 13.07x | $8.6K | $361.5K | 529 | 419 |
| 2021 | $12.7K | $1.2K | 10.27x | $11.4K | $603.4K | 720 | 559 |
| 2022 | $15.7K | $1.9K | 8.40x | $13.8K | $1.1M | 934 | 715 |
| 2023 | $16.9K | $1.8K | 9.20x | $15.1K | $988.0K | 900 | 676 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.8K | $2.2M | $778.25 | 9.84x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 97 | $671.3K | $6.9K | 8.67x |
| 29848 | Release of wrist ligament using an endoscope | 925 | $530.3K | $573.33 | 16.34x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 45 | $314.9K | $7.0K | 6.43x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 508 | $192.8K | $379.46 | 8.83x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 118 | $190.0K | $1.6K | 11.83x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 66 | $149.5K | $2.3K | 8.64x |
| 26055 | Incision of tendon covering | 289 | $129.3K | $447.42 | 11.95x |
| 66982 | Removal of cataract with insertion of lens | 153 | $114.5K | $748.52 | 10.27x |
| 67042 | Removal of membrane from the retina, pars plana approach | 75 | $100.7K | $1.3K | 10.20x |
| V2785 | Processing, preserving and transporting corneal tissue | 24 | $78.2K | $3.3K | 2.55x |
| 64721 | Release and/or relocation of median nerve of hand | 103 | $62.2K | $603.63 | 10.06x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 95 | $53.0K | $557.39 | 10.89x |
| 29881 | Removal of one knee cartilage using an endoscope | 55 | $50.0K | $908.61 | 10.38x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 13 | $43.7K | $3.4K | 4.93x |
| 29880 | Removal of both knee cartilages using an endoscope | 34 | $33.5K | $985.67 | 9.57x |
| 23430 | Anchoring of biceps tendon | 31 | $33.3K | $1.1K | 15.34x |
| 65756 | Transplant of outer layer of corneal tissue | 20 | $27.6K | $1.4K | 9.92x |
| 26160 | Removal of growth of tendon finger or hand | 39 | $20.0K | $513.23 | 10.50x |
| 26123 | Removal of connective tissue of palm and release of finger, first digit | 19 | $18.9K | $995.68 | 9.73x |
This provider submits charges 10.24 times higher than what Medicare actually pays.
A markup ratio of 10.24x means for every $100 Medicare pays, this provider initially charges $1024. 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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