This provider's $7.2M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.54x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 749% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2015
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 | $9.2K | $1.1K | 8.35x | $8.1K | $150.0K | 138 | 132 |
| 2015 | $9.1K | $821.03 | 11.05x | $8.2K | $415.0K | 454 | 432 |
| 2016 | $11.8K | $952.62 | 12.38x | $10.8K | $458.3K | 521 | 495 |
| 2017 | $14.8K | $1.1K | 13.07x | $13.7K | $608.6K | 546 | 528 |
| 2018 | $15.4K | $1.3K | 12.20x | $14.1K | $648.2K | 554 | 540 |
| 2019 | $14.1K | $1.1K | 13.09x | $13.0K | $557.1K | 535 | 523 |
| 2020 | $15.7K | $1.4K | 10.82x | $14.2K | $677.5K | 506 | 488 |
| 2021 | $18.7K | $1.9K | 9.77x | $16.8K | $1.3M | 668 | 646 |
| 2022 | $18.7K | $2.1K | 8.75x | $16.6K | $1.1M | 553 | 530 |
| 2023 | $17.5K | $1.9K | 9.04x | $15.6K | $1.3M | 664 | 635 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 180 | $1.4M | $7.8K | 6.94x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 411 | $941.3K | $2.3K | 9.44x |
| 29880 | Removal of both knee cartilages using an endoscope | 642 | $720.4K | $1.1K | 12.52x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 92 | $710.9K | $7.7K | 6.42x |
| 29848 | Release of wrist ligament using an endoscope | 861 | $609.5K | $707.86 | 15.45x |
| 23430 | Anchoring of biceps tendon | 307 | $592.8K | $1.9K | 9.75x |
| 29881 | Removal of one knee cartilage using an endoscope | 325 | $364.9K | $1.1K | 12.66x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 94 | $337.2K | $3.6K | 7.80x |
| 26055 | Incision of tendon covering | 464 | $244.3K | $526.55 | 11.78x |
| 25447 | Removal of bone joints between wrist and fingers | 217 | $224.3K | $1.0K | 14.42x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 92 | $174.2K | $1.9K | 9.91x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 43 | $151.5K | $3.5K | 7.85x |
| 64721 | Release and/or relocation of median nerve of hand | 149 | $101.5K | $680.89 | 10.57x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 133 | $92.7K | $696.84 | 31.00x |
| 20680 | Removal of deep bone implant | 102 | $90.8K | $890.41 | 9.86x |
| 26160 | Removal of growth of tendon finger or hand | 142 | $84.4K | $594.05 | 10.71x |
| 26480 | Transplant of tendon of hand | 84 | $61.5K | $732.00 | 14.89x |
| 25310 | Relocation of tendon of forearm and/or wrist | 88 | $53.0K | $602.70 | 20.61x |
| 26123 | Removal of tissue of palm | 41 | $46.4K | $1.1K | 9.82x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 52 | $38.1K | $732.32 | 29.50x |
This provider submits charges 10.54 times higher than what Medicare actually pays.
A markup ratio of 10.54x means for every $100 Medicare pays, this provider initially charges $1054. 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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