This provider's $5.1M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.47x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 186% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 82% in 2022
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 | $3.1K | $720.24 | 4.35x | $2.4K | $208.1K | 318 | 285 |
| 2015 | $4.3K | $821.61 | 5.26x | $3.5K | $307.0K | 477 | 430 |
| 2016 | $3.7K | $559.68 | 6.57x | $3.1K | $282.3K | 589 | 516 |
| 2017 | $4.1K | $643.81 | 6.37x | $3.5K | $313.3K | 602 | 504 |
| 2018 | $3.9K | $675.66 | 5.83x | $3.3K | $488.3K | 761 | 684 |
| 2019 | $4.0K | $654.80 | 6.09x | $3.3K | $526.2K | 819 | 751 |
| 2020 | $5.4K | $1.0K | 5.29x | $4.4K | $627.9K | 719 | 663 |
| 2021 | $5.2K | $1.0K | 5.11x | $4.2K | $612.1K | 679 | 653 |
| 2022 | $8.8K | $2.4K | 3.74x | $6.5K | $1.1M | 813 | 765 |
| 2023 | $5.3K | $849.40 | 6.28x | $4.5K | $594.6K | 783 | 746 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 500 | $1.0M | $2.1K | 4.21x |
| 64721 | Release and/or relocation of median nerve of hand | 1.0K | $637.4K | $624.32 | 4.75x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 138 | $467.2K | $3.4K | 3.33x |
| 26055 | Incision of tendon covering | 717 | $339.9K | $474.10 | 5.83x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 74 | $257.7K | $3.5K | 2.89x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 11 | $223.8K | $20.3K | 2.72x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 706 | $182.2K | $258.02 | 7.74x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 78 | $176.7K | $2.3K | 3.93x |
| 29880 | Removal of both knee cartilages using an endoscope | 183 | $174.5K | $953.81 | 4.68x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 447 | $171.1K | $382.72 | 7.65x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 302 | $166.3K | $550.59 | 5.83x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 271 | $161.3K | $595.10 | 13.81x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 235 | $159.6K | $679.15 | 11.88x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 11 | $157.1K | $14.3K | 2.54x |
| 29881 | Removal of one knee cartilage using an endoscope | 108 | $108.5K | $1.0K | 4.36x |
| 25290 | Incision of tendon of forearm and/or wrist, open procedure | 177 | $96.0K | $542.50 | 9.90x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 110 | $64.1K | $582.31 | 5.60x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 104 | $54.1K | $520.59 | 8.26x |
| 20680 | Removal of deep bone implant | 62 | $53.2K | $858.12 | 4.47x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 161 | $41.6K | $258.34 | 7.73x |
This provider submits charges 5.47 times higher than what Medicare actually pays.
A markup ratio of 5.47x means for every $100 Medicare pays, this provider initially charges $547. 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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