This provider's $18.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.7x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 202% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $3.2K | $430.09 | 7.51x | $2.8K | $1.0M | 2.3K | 19 |
| 2015 | $3.1K | $396.85 | 7.90x | $2.7K | $992.5K | 2.5K | 20 |
| 2016 | $3.5K | $473.57 | 7.45x | $3.1K | $1.1M | 2.3K | 24 |
| 2017 | $3.6K | $464.74 | 7.84x | $3.2K | $937.9K | 2.0K | 22 |
| 2018 | $4.0K | $571.84 | 6.94x | $3.4K | $1.3M | 2.2K | 25 |
| 2019 | $4.0K | $671.83 | 5.89x | $3.3K | $1.6M | 2.4K | 27 |
| 2020 | $4.3K | $850.83 | 5.05x | $3.4K | $2.2M | 2.6K | 25 |
| 2021 | $4.6K | $910.89 | 5.06x | $3.7K | $3.5M | 3.8K | 29 |
| 2022 | $5.4K | $781.85 | 6.92x | $4.6K | $2.9M | 3.7K | 28 |
| 2023 | $7.0K | $820.99 | 8.58x | $6.2K | $3.0M | 3.7K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 531 | $3.5M | $6.5K | 3.48x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 731 | $1.4M | $1.9K | 4.55x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 5.8K | $1.3M | $233.45 | 14.77x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 5.2K | $1.3M | $244.35 | 9.98x |
| 27446 | Replacement of knee joint on side of knee | 217 | $1.3M | $5.8K | 3.36x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.2K | $1.1M | $516.87 | 6.96x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 54 | $936.4K | $17.3K | 1.73x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 196 | $660.1K | $3.4K | 2.20x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 90 | $585.5K | $6.5K | 4.11x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 171 | $505.0K | $3.0K | 2.98x |
| 29881 | Removal of knee cartilage using an endoscope | 503 | $468.3K | $930.93 | 8.74x |
| 64721 | Release and/or relocation of hand nerve | 816 | $452.6K | $554.68 | 12.31x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.5K | $378.5K | $244.64 | 11.30x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.6K | $362.8K | $233.79 | 17.83x |
| 29880 | Removal of both knee cartilages using an endoscope | 369 | $345.4K | $935.93 | 8.46x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 340 | $298.7K | $878.54 | 8.65x |
| 29848 | Release of wrist ligament using an endoscope | 597 | $289.1K | $484.29 | 11.42x |
| 25447 | Removal of bone joints between wrist and fingers | 345 | $268.4K | $778.11 | 7.11x |
| 26055 | Incision of tendon covering of finger | 633 | $259.7K | $410.27 | 9.62x |
| 20680 | Removal of deep implant from bone | 337 | $249.7K | $740.87 | 4.17x |
This provider submits charges 6.7 times higher than what Medicare actually pays.
A markup ratio of 6.7x means for every $100 Medicare pays, this provider initially charges $670. 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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