This provider's $5.2M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.17x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 54% 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 | $1.3K | $461.69 | 2.90x | $876.64 | $453.4K | 1.2K | 1.2K |
| 2015 | $1.3K | $426.97 | 3.13x | $910.53 | $494.2K | 1.5K | 1.3K |
| 2016 | $1.2K | $363.77 | 3.40x | $872.99 | $598.6K | 2.9K | 2.5K |
| 2017 | $1.2K | $363.39 | 3.41x | $875.94 | $645.8K | 3.4K | 2.8K |
| 2018 | $1.2K | $344.92 | 3.55x | $878.36 | $450.0K | 2.3K | 2.0K |
| 2019 | $949.56 | $333.71 | 2.85x | $615.85 | $512.6K | 2.6K | 2.2K |
| 2020 | $975.04 | $241.38 | 4.04x | $733.66 | $423.7K | 2.2K | 2.0K |
| 2021 | $1.3K | $262.28 | 4.91x | $1.0K | $469.5K | 2.4K | 2.1K |
| 2022 | $1.6K | $399.13 | 3.89x | $1.2K | $499.7K | 2.4K | 2.1K |
| 2023 | $1.5K | $386.83 | 3.95x | $1.1K | $699.8K | 3.0K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 8.3K | $1.3M | $161.20 | 6.98x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 1.4K | $869.9K | $607.90 | 2.71x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 4.9K | $579.1K | $118.20 | 8.71x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 611 | $366.9K | $600.51 | 2.85x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 620 | $365.9K | $590.18 | 2.23x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 2.9K | $351.0K | $119.39 | 7.25x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 1.9K | $349.9K | $184.76 | 5.74x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 569 | $338.9K | $595.56 | 2.71x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 340 | $204.1K | $600.43 | 2.96x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 97 | $109.7K | $1.1K | 1.80x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 574 | $70.8K | $123.43 | 9.05x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 560 | $66.9K | $119.52 | 9.81x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 109 | $65.5K | $601.29 | 2.77x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 110 | $59.1K | $537.14 | 2.39x |
| 11604 | Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs | 131 | $33.6K | $256.18 | 2.48x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 125 | $17.3K | $138.57 | 7.97x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 175 | $13.0K | $74.16 | 7.36x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 17 | $9.8K | $577.44 | 2.42x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 124 | $9.4K | $76.02 | 7.62x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 15 | $8.5K | $569.86 | 2.11x |
This provider submits charges 5.17 times higher than what Medicare actually pays.
A markup ratio of 5.17x means for every $100 Medicare pays, this provider initially charges $517. 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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