This provider's $25.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.58x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 491% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 170% in 2020
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 | $5.3K | $616.80 | 8.57x | $4.7K | $1.0M | 1.7K | 19 |
| 2015 | $6.1K | $726.60 | 8.39x | $5.4K | $1.2M | 1.6K | 21 |
| 2016 | $6.0K | $680.68 | 8.77x | $5.3K | $1.1M | 1.6K | 20 |
| 2017 | $5.3K | $574.07 | 9.16x | $4.7K | $1.1M | 1.9K | 19 |
| 2018 | $5.8K | $692.12 | 8.39x | $5.1K | $1.1M | 1.6K | 16 |
| 2019 | $6.0K | $726.61 | 8.20x | $5.2K | $1.1M | 1.5K | 17 |
| 2020 | $492.90 | $96.82 | 5.09x | $396.08 | $3.0M | 30.9K | 25 |
| 2021 | $265.61 | $56.57 | 4.70x | $209.04 | $4.7M | 83.5K | 26 |
| 2022 | $222.06 | $49.05 | 4.53x | $173.01 | $5.3M | 107.3K | 25 |
| 2023 | $371.31 | $88.95 | 4.17x | $282.36 | $6.2M | 69.1K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 785 | $5.1M | $6.5K | 4.81x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 174 | $3.1M | $17.6K | 1.72x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.7K | $2.8M | $1.6K | 6.13x |
| 27446 | Replacement of knee joint on side of knee | 327 | $2.1M | $6.3K | 3.98x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 249 | $1.7M | $6.7K | 4.67x |
| 27279 | Fusion of pelvic joint using imaging guidance | 146 | $1.4M | $9.8K | 2.67x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 575 | $1.2M | $2.0K | 4.74x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 313 | $1.1M | $3.4K | 1.95x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 315 | $855.3K | $2.7K | 2.30x |
| 29881 | Removal of knee cartilage using an endoscope | 855 | $770.5K | $901.15 | 10.04x |
| 64721 | Release and/or relocation of hand nerve | 1.4K | $766.9K | $545.81 | 8.35x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 747 | $557.6K | $746.50 | 12.79x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 2.5K | $508.0K | $201.27 | 5.85x |
| 29880 | Removal of both knee cartilages using an endoscope | 432 | $382.7K | $885.96 | 9.88x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.7K | $359.1K | $208.78 | 5.45x |
| 26055 | Incision of tendon covering of finger | 850 | $347.1K | $408.30 | 15.21x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 495 | $311.8K | $629.81 | 15.95x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 274.8K | $288.2K | $1.05 | 1.46x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 110 | $228.1K | $2.1K | 7.30x |
| 28750 | Fusion of big toe at joint with foot | 76 | $189.3K | $2.5K | 7.40x |
This provider submits charges 5.58 times higher than what Medicare actually pays.
A markup ratio of 5.58x means for every $100 Medicare pays, this provider initially charges $558. 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 MO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Des Peres Eye Surgery Center, Llc | Saint Louis, MO | $41.9M | ✓ 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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