This provider's $15.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.97x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 311% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 194% in 2018
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 | $4.9K | $663.86 | 7.32x | $4.2K | $576.4K | 1.3K | 1.2K |
| 2015 | $4.7K | $608.34 | 7.65x | $4.0K | $513.3K | 1.1K | 1.1K |
| 2016 | $5.0K | $590.75 | 8.38x | $4.4K | $504.4K | 1.1K | 1.1K |
| 2017 | $4.9K | $585.67 | 8.40x | $4.3K | $721.8K | 1.4K | 1.2K |
| 2018 | $4.9K | $724.82 | 6.72x | $4.1K | $2.1M | 3.2K | 2.5K |
| 2019 | $5.6K | $808.95 | 6.86x | $4.7K | $2.0M | 3.0K | 2.3K |
| 2020 | $5.4K | $790.71 | 6.80x | $4.6K | $1.7M | 2.4K | 1.7K |
| 2021 | $6.9K | $938.01 | 7.39x | $6.0K | $2.2M | 2.9K | 2.2K |
| 2022 | $7.1K | $1.1K | 6.78x | $6.1K | $2.3M | 2.6K | 1.9K |
| 2023 | $9.4K | $1.3K | 7.41x | $8.1K | $2.4M | 2.5K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.8K | $7.4M | $759.95 | 5.32x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 107 | $745.6K | $7.0K | 6.98x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.0K | $742.9K | $371.10 | 7.67x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 273 | $680.8K | $2.5K | 2.51x |
| 45380 | Biopsy of large bowel using an endoscope | 1.8K | $564.3K | $316.67 | 8.93x |
| 65820 | Incision to improve eye fluid flow | 398 | $544.7K | $1.4K | 4.74x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 263 | $521.1K | $2.0K | 10.67x |
| 66982 | Removal of cataract with insertion of lens | 570 | $431.8K | $757.60 | 5.61x |
| 0191T | Internal insertion of eye fluid drainage device | 198 | $417.2K | $2.1K | 2.60x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.4K | $376.4K | $260.68 | 8.23x |
| 64721 | Release and/or relocation of median nerve of hand | 582 | $348.8K | $599.37 | 8.21x |
| 29881 | Removal of one knee cartilage using an endoscope | 354 | $333.1K | $940.99 | 8.60x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 897 | $324.9K | $362.18 | 2.00x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 667 | $242.6K | $363.78 | 2.39x |
| 29880 | Removal of both knee cartilages using an endoscope | 185 | $176.3K | $953.18 | 8.50x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 260 | $171.0K | $657.86 | 11.98x |
| 26055 | Incision of tendon covering | 329 | $152.9K | $464.71 | 7.73x |
| 67041 | Removal of membrane from the retina | 62 | $88.2K | $1.4K | 5.06x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 13 | $87.5K | $6.7K | 7.46x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 73 | $78.9K | $1.1K | 6.88x |
This provider submits charges 5.97 times higher than what Medicare actually pays.
A markup ratio of 5.97x means for every $100 Medicare pays, this provider initially charges $597. 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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