This provider's $14.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.46x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $86.4K | $14.4K | 5.99x | $72.0K | $1.2M | 81 | 81 |
| 2017 | $81.0K | $12.0K | 6.74x | $69.0K | $1.6M | 131 | 131 |
| 2018 | $80.7K | $12.7K | 6.38x | $68.1K | $1.4M | 114 | 114 |
| 2019 | $54.3K | $6.1K | 8.90x | $48.2K | $2.2M | 652 | 652 |
| 2020 | $53.0K | $5.1K | 10.34x | $47.8K | $2.7M | 891 | 877 |
| 2021 | $57.3K | $6.2K | 9.19x | $51.1K | $2.1M | 649 | 647 |
| 2022 | $58.2K | $6.3K | 9.21x | $51.9K | $1.7M | 492 | 488 |
| 2023 | $54.0K | $5.3K | 10.13x | $48.6K | $1.0M | 344 | 342 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 212 | $4.1M | $19.1K | 5.17x |
| 33264 | Removal and replacement of defibrillator pulse generator | 175 | $3.4M | $19.3K | 5.17x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 274 | $1.6M | $5.8K | 10.86x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.6K | $1.5M | $971.57 | 41.59x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 238 | $1.3M | $5.6K | 11.20x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 250 | $1.1M | $4.4K | 13.54x |
| 33285 | Insertion of heart rhythm monitor under skin | 83 | $417.4K | $5.0K | 5.62x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 297 | $290.5K | $978.26 | 44.17x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 105 | $99.7K | $949.15 | 34.31x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 85 | $82.9K | $975.61 | 49.23x |
| 33227 | Removal and replacement of single lead permanent pacemaker | 11 | $53.0K | $4.8K | 13.01x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 11 | $23.3K | $2.1K | 22.24x |
| 93451 | Insertion of catheter for diagnostic evaluation of right heart structures | 12 | $12.1K | $1.0K | 24.26x |
| 93461 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 12 | $12.1K | $1.0K | 56.69x |
| 33286 | Removal of heart rhythm monitor from under skin | 12 | $2.7K | $227.61 | 36.51x |
This provider submits charges 12.46 times higher than what Medicare actually pays.
A markup ratio of 12.46x means for every $100 Medicare pays, this provider initially charges $1246. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data