This provider's $9.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.51x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $4.1K | $494.12 | 8.38x | $3.6K | $1.2M | 3.0K | 2.0K |
| 2015 | $4.1K | $524.25 | 7.78x | $3.6K | $1.2M | 3.1K | 2.2K |
| 2016 | $4.2K | $576.41 | 7.34x | $3.7K | $1.2M | 3.0K | 2.2K |
| 2017 | $4.4K | $634.52 | 6.99x | $3.8K | $1.1M | 2.8K | 2.1K |
| 2018 | $5.2K | $1.1K | 4.55x | $4.0K | $1.2M | 2.1K | 1.6K |
| 2019 | $4.2K | $610.00 | 6.86x | $3.6K | $841.5K | 1.7K | 1.3K |
| 2020 | $4.2K | $658.85 | 6.38x | $3.5K | $611.9K | 923 | 771 |
| 2021 | $4.8K | $755.66 | 6.35x | $4.0K | $575.0K | 746 | 613 |
| 2022 | $5.0K | $679.97 | 7.35x | $4.3K | $596.9K | 915 | 764 |
| 2023 | $4.7K | $662.09 | 7.15x | $4.1K | $560.2K | 847 | 723 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.7K | $2.1M | $770.75 | 13.57x |
| 62311 | Injections of substances into lower or sacral spine | 2.9K | $818.5K | $283.31 | 7.40x |
| 49650 | Repair of groin hernia using an endoscope | 352 | $521.6K | $1.5K | 8.26x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $484.8K | $252.88 | 7.37x |
| 49505 | Repair of groin hernia patient age 5 years or older | 433 | $476.4K | $1.1K | 7.22x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 772 | $458.6K | $594.04 | 3.33x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.7K | $368.8K | $216.80 | 9.64x |
| 19301 | Partial removal of breast | 476 | $322.6K | $677.73 | 11.14x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 95 | $320.1K | $3.4K | 2.33x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 14 | $252.4K | $18.0K | 1.77x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 272 | $243.4K | $894.82 | 5.06x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 985 | $243.0K | $246.72 | 7.06x |
| 62310 | Injections of substances into upper or middle spine | 602 | $168.8K | $280.33 | 7.48x |
| 36830 | Connection of tube graft to vein and artery for dialysis | 88 | $150.4K | $1.7K | 3.65x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 148 | $143.3K | $968.14 | 4.38x |
| 30520 | Reshaping of nasal cartilage | 242 | $142.8K | $589.98 | 6.98x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 586 | $135.2K | $230.73 | 7.36x |
| 0191T | Internal insertion of eye fluid drainage device | 62 | $133.7K | $2.2K | 2.13x |
| 64721 | Release and/or relocation of median nerve of hand | 182 | $106.9K | $587.26 | 8.54x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 410 | $106.5K | $259.73 | 7.28x |
This provider submits charges 8.51 times higher than what Medicare actually pays.
A markup ratio of 8.51x means for every $100 Medicare pays, this provider initially charges $851. 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.
Other Ambulatory Surgical Center providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ Clear |
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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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