This provider's $5.4M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.52x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 2231% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1717% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $13.2K | $745.02 | 17.69x | $12.4K | $75.3K | 117 | 117 |
| 2021 | $31.5K | $3.5K | 9.03x | $28.0K | $1.4M | 626 | 621 |
| 2022 | $34.5K | $5.6K | 6.15x | $28.9K | $2.2M | 573 | 570 |
| 2023 | $42.7K | $6.8K | 6.26x | $35.9K | $1.8M | 430 | 427 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 161 | $866.1K | $5.4K | 9.42x |
| 33249 | Insertion of implantable defibrillator system | 37 | $819.3K | $22.1K | 4.52x |
| 33264 | Removal and replacement of multiple lead defibrillator | 33 | $746.5K | $22.6K | 4.42x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 584 | $656.2K | $1.1K | 27.10x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 93 | $635.2K | $6.8K | 6.17x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 86 | $570.4K | $6.6K | 6.21x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 22 | $216.8K | $9.9K | 9.64x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 137 | $160.1K | $1.2K | 15.46x |
| C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch | 12 | $119.0K | $9.9K | 7.56x |
| C9765 | Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed | 11 | $95.9K | $8.7K | 7.75x |
| 93454 | Insertion of catheter for imaging of heart including imaging interpretation and supervision and injection | 84 | $89.1K | $1.1K | 11.97x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels and/or grafts and left lower heart including imaging interpretation and supervision and injection | 65 | $73.0K | $1.1K | 14.98x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 184 | $71.3K | $387.67 | 5.40x |
| 33207 | Insertion of pacemaker and lower heart chamber electrode | 11 | $71.0K | $6.5K | 6.38x |
| C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ve | 36 | $59.8K | $1.7K | 10.22x |
| 33233 | Removal of permanent pacemaker pulse generator | 11 | $55.5K | $5.0K | 5.72x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 122 | $39.6K | $324.23 | 6.60x |
| 45380 | Biopsy of the large bowel using an endoscope (colonoscopy) | 34 | $15.0K | $441.14 | 6.20x |
| 93461 | Insertion of catheter in right and left heart and left lower heart for imaging of blood vessels and/or grafts including imaging interpretation and supervision and injection | 12 | $14.0K | $1.2K | 17.70x |
| 75822 | Review by radiologist of both arms and legs veins of both arms or legs image | 11 | $635.69 | $57.79 | 24.70x |
This provider submits charges 9.52 times higher than what Medicare actually pays.
A markup ratio of 9.52x means for every $100 Medicare pays, this provider initially charges $952. 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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