This provider's $19.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 73% from 2014 to 2023.
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 | $2.2K | $741.06 | 2.98x | $1.5K | $1.4M | 3.2K | 3.0K |
| 2015 | $2.4K | $750.67 | 3.21x | $1.7K | $1.6M | 3.5K | 3.3K |
| 2016 | $2.3K | $682.11 | 3.33x | $1.6K | $1.8M | 4.5K | 4.1K |
| 2017 | $2.1K | $664.17 | 3.21x | $1.5K | $2.0M | 4.9K | 4.5K |
| 2018 | $2.2K | $691.31 | 3.22x | $1.5K | $1.9M | 4.5K | 4.2K |
| 2019 | $2.4K | $830.83 | 2.94x | $1.6K | $2.1M | 4.7K | 4.4K |
| 2020 | $2.3K | $836.43 | 2.80x | $1.5K | $1.8M | 4.1K | 3.8K |
| 2021 | $3.0K | $1.1K | 2.65x | $1.8K | $2.2M | 4.3K | 4.0K |
| 2022 | $2.8K | $1.1K | 2.45x | $1.6K | $2.2M | 4.2K | 3.9K |
| 2023 | $3.1K | $1.2K | 2.47x | $1.8K | $2.5M | 3.5K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 6.3K | $2.5M | $398.45 | 4.14x |
| 64721 | Release and/or relocation of median nerve of hand | 2.2K | $1.3M | $608.98 | 3.59x |
| 45380 | Biopsy of large bowel using an endoscope | 3.0K | $1.1M | $358.83 | 4.46x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 530 | $837.8K | $1.6K | 3.04x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.1K | $791.8K | $258.26 | 5.61x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.2K | $773.0K | $240.00 | 3.37x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.0K | $749.5K | $379.66 | 3.92x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 102 | $749.5K | $7.3K | 1.80x |
| 28750 | Fusion of great toe | 241 | $697.3K | $2.9K | 1.50x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 314 | $694.8K | $2.2K | 2.11x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.8K | $671.2K | $372.88 | 3.99x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 2.1K | $558.3K | $268.03 | 4.14x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.6K | $471.6K | $293.65 | 3.26x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.0K | $428.2K | $214.12 | 3.73x |
| 20680 | Removal of deep bone implant | 477 | $383.6K | $804.11 | 2.56x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 172 | $382.4K | $2.2K | 2.68x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.3K | $368.9K | $281.38 | 5.28x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 47 | $357.4K | $7.6K | 2.06x |
| 26055 | Incision of tendon covering | 737 | $342.1K | $464.19 | 5.05x |
| 29881 | Removal of one knee cartilage using an endoscope | 335 | $338.0K | $1.0K | 3.01x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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