This provider's $4.0M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.96x 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 | $6.9K | $623.74 | 10.99x | $6.2K | $454.4K | 1.1K | 865 |
| 2015 | $5.6K | $484.99 | 11.56x | $5.1K | $368.2K | 975 | 782 |
| 2016 | $6.2K | $500.55 | 12.32x | $5.7K | $401.9K | 1.1K | 907 |
| 2017 | $7.1K | $533.11 | 13.40x | $6.6K | $388.3K | 1.2K | 904 |
| 2018 | $5.5K | $450.97 | 12.09x | $5.0K | $334.7K | 1.1K | 908 |
| 2019 | $5.6K | $408.72 | 13.76x | $5.2K | $360.8K | 1.2K | 963 |
| 2020 | $6.4K | $438.85 | 14.53x | $5.9K | $336.2K | 1.1K | 878 |
| 2021 | $5.6K | $365.88 | 15.43x | $5.3K | $445.5K | 1.3K | 1.1K |
| 2022 | $10.9K | $904.76 | 12.03x | $10.0K | $502.3K | 1.2K | 983 |
| 2023 | $10.0K | $1.1K | 8.70x | $8.8K | $451.7K | 913 | 764 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $750.4K | $525.14 | 6.80x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $470.8K | $228.63 | 14.94x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $353.2K | $257.63 | 9.76x |
| 49505 | Repair of groin hernia patient age 5 years or older | 281 | $294.7K | $1.0K | 12.77x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.3K | $291.7K | $227.21 | 11.17x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.1K | $203.2K | $192.63 | 7.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 347 | $190.7K | $549.70 | 6.68x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 813 | $187.9K | $231.12 | 14.82x |
| 29881 | Removal of one knee cartilage using an endoscope | 167 | $162.0K | $970.27 | 14.79x |
| 62311 | Injections of substances into lower or sacral spine | 583 | $152.3K | $261.27 | 5.63x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 121 | $124.8K | $1.0K | 11.83x |
| 47562 | Removal of gallbladder using an endoscope | 70 | $107.0K | $1.5K | 14.72x |
| 64721 | Release and/or relocation of median nerve of hand | 176 | $95.2K | $540.78 | 15.33x |
| 27447 | Replacement of knee joint, both sides of knee | 14 | $88.2K | $6.3K | 7.12x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 11 | $81.1K | $7.4K | 5.38x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 14 | $75.4K | $5.4K | 3.87x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 328 | $74.9K | $228.31 | 11.10x |
| 37766 | Multiple incisions for removal of varicose veins of arm or leg | 229 | $57.8K | $252.56 | 32.60x |
| 29880 | Removal of both knee cartilages using an endoscope | 48 | $47.5K | $989.86 | 16.25x |
| 49650 | Repair of groin hernia using an endoscope | 20 | $31.0K | $1.5K | 10.22x |
This provider submits charges 10.96 times higher than what Medicare actually pays.
A markup ratio of 10.96x means for every $100 Medicare pays, this provider initially charges $1096. 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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