This provider's $19.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.33x is significantly above the specialty median of 6.1x.
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 | $1.5K | $459.05 | 3.37x | $1.1K | $1.6M | 3.3K | 2.8K |
| 2015 | $1.6K | $516.33 | 3.13x | $1.1K | $1.8M | 3.5K | 2.9K |
| 2016 | $1.6K | $519.38 | 3.13x | $1.1K | $2.0M | 3.7K | 3.1K |
| 2017 | $1.6K | $516.15 | 3.15x | $1.1K | $2.0M | 3.8K | 3.2K |
| 2018 | $1.6K | $545.16 | 2.97x | $1.1K | $2.0M | 3.6K | 3.0K |
| 2019 | $1.7K | $605.93 | 2.88x | $1.1K | $2.0M | 3.7K | 3.0K |
| 2020 | $2.2K | $582.07 | 3.75x | $1.6K | $1.7M | 3.1K | 2.6K |
| 2021 | $6.1K | $590.01 | 10.42x | $5.6K | $2.2M | 3.7K | 3.0K |
| 2022 | $6.3K | $569.28 | 11.07x | $5.7K | $2.0M | 3.4K | 2.8K |
| 2023 | $7.5K | $704.16 | 10.64x | $6.8K | $2.2M | 3.5K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 10.6K | $8.6M | $810.79 | 6.51x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 4.2K | $1.7M | $406.29 | 6.66x |
| 66982 | Removal of cataract with insertion of lens | 1.3K | $1.0M | $825.58 | 7.52x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.0K | $808.8K | $267.02 | 9.07x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.9K | $719.5K | $387.44 | 6.29x |
| 64721 | Release and/or relocation of median nerve of hand | 1.1K | $676.4K | $621.69 | 5.77x |
| 0191T | Internal insertion of eye fluid drainage device | 274 | $525.6K | $1.9K | 2.22x |
| 26055 | Incision of tendon covering | 932 | $449.5K | $482.33 | 5.97x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.1K | $414.3K | $197.47 | 9.84x |
| 45380 | Biopsy of large bowel using an endoscope | 1.2K | $376.0K | $303.48 | 7.41x |
| 49505 | Repair of groin hernia patient age 5 years or older | 328 | $367.7K | $1.1K | 3.29x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 670 | $258.7K | $386.07 | 6.31x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 88 | $226.3K | $2.6K | 5.83x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 105 | $207.7K | $2.0K | 2.82x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 685 | $198.6K | $289.89 | 8.13x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 416 | $197.7K | $475.26 | 4.23x |
| 49650 | Repair of groin hernia using an endoscope | 102 | $171.9K | $1.7K | 2.98x |
| 66170 | Creation of eye fluid drainage tract | 249 | $155.6K | $624.88 | 5.56x |
| 26123 | Removal of tissue of palm | 123 | $126.6K | $1.0K | 3.33x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 251 | $118.5K | $472.23 | 3.65x |
This provider submits charges 6.33 times higher than what Medicare actually pays.
A markup ratio of 6.33x means for every $100 Medicare pays, this provider initially charges $633. 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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