This provider's $8.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.04x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 668% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 317% 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 | $2.4K | $290.79 | 8.08x | $2.1K | $275.5K | 1.0K | 998 |
| 2015 | $2.4K | $306.32 | 7.79x | $2.1K | $306.3K | 1.1K | 1.1K |
| 2016 | $2.5K | $322.57 | 7.62x | $2.1K | $276.7K | 974 | 954 |
| 2017 | $2.4K | $271.09 | 8.76x | $2.1K | $210.6K | 793 | 783 |
| 2018 | $15.6K | $2.3K | 6.83x | $13.4K | $878.9K | 1.0K | 986 |
| 2019 | $14.0K | $1.9K | 7.50x | $12.1K | $929.9K | 1.1K | 1.0K |
| 2020 | $20.9K | $3.7K | 5.73x | $17.3K | $1.0M | 724 | 724 |
| 2021 | $14.6K | $1.9K | 7.57x | $12.7K | $1.2M | 1.0K | 1.0K |
| 2022 | $17.1K | $2.9K | 5.97x | $14.2K | $1.5M | 844 | 839 |
| 2023 | $10.7K | $1.5K | 6.99x | $9.1K | $2.1M | 2.1K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 244 | $4.2M | $17.1K | 5.76x |
| 66984 | Removal of cataract with insertion of lens | 1.0K | $815.1K | $778.55 | 5.38x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 178 | $602.0K | $3.4K | 13.18x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.8K | $598.0K | $210.34 | 11.36x |
| 45380 | Biopsy of large bowel using an endoscope | 2.0K | $593.4K | $302.58 | 8.04x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.4K | $477.5K | $345.03 | 7.04x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 30 | $372.6K | $12.4K | 3.59x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 584 | $183.0K | $313.43 | 8.24x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 446 | $140.0K | $313.95 | 7.82x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 509 | $127.7K | $250.93 | 9.38x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 11 | $102.3K | $9.3K | 7.12x |
| 43450 | Dilation of esophagus | 431 | $100.1K | $232.30 | 10.23x |
| 43249 | Balloon dilation of esophagus using an endoscope | 165 | $74.7K | $452.73 | 5.73x |
| 27447 | Repair of knee joint | 11 | $71.2K | $6.5K | 4.38x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 26 | $63.3K | $2.4K | 6.43x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 188 | $39.6K | $210.77 | 10.00x |
| 45381 | Injections of large bowel using an endoscope | 151 | $30.4K | $201.62 | 11.99x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 35 | $28.1K | $802.80 | 5.57x |
| 66174 | Dilation of fluid outflow drainage within eye | 19 | $27.3K | $1.4K | 7.28x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 52 | $25.9K | $497.78 | 6.73x |
This provider submits charges 7.04 times higher than what Medicare actually pays.
A markup ratio of 7.04x means for every $100 Medicare pays, this provider initially charges $704. 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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