This provider's $14.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.49x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 112% 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 | $4.6K | $415.39 | 11.19x | $4.2K | $955.4K | 3.4K | 3.2K |
| 2015 | $4.8K | $468.32 | 10.18x | $4.3K | $1.1M | 3.5K | 3.3K |
| 2016 | $4.8K | $461.32 | 10.32x | $4.3K | $1.2M | 4.0K | 3.7K |
| 2017 | $5.4K | $456.14 | 11.74x | $4.9K | $1.3M | 4.3K | 4.1K |
| 2018 | $6.1K | $603.89 | 10.05x | $5.5K | $1.4M | 4.3K | 4.0K |
| 2019 | $6.4K | $685.29 | 9.38x | $5.7K | $1.4M | 4.0K | 3.8K |
| 2020 | $8.2K | $955.05 | 8.61x | $7.3K | $1.5M | 3.6K | 3.4K |
| 2021 | $10.9K | $1.3K | 8.62x | $9.7K | $1.8M | 2.1K | 2.1K |
| 2022 | $12.3K | $1.5K | 8.36x | $10.9K | $2.0M | 1.9K | 1.8K |
| 2023 | $12.3K | $1.5K | 8.17x | $10.8K | $2.0M | 1.9K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 415 | $2.8M | $6.7K | 7.57x |
| 43249 | Balloon dilation of esophagus using an endoscope | 3.2K | $1.5M | $457.24 | 6.10x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 7.5K | $1.4M | $191.39 | 14.48x |
| 45380 | Biopsy of large bowel using an endoscope | 5.1K | $1.3M | $248.84 | 10.89x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 4.3K | $1.2M | $288.71 | 9.67x |
| 27446 | Repair of knee joint | 141 | $889.4K | $6.3K | 6.83x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 100 | $686.1K | $6.9K | 8.13x |
| 45388 | Destruction of large bowel growths using an endoscope | 1.9K | $601.3K | $320.02 | 9.52x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 220 | $390.2K | $1.8K | 8.89x |
| 29881 | Removal of one knee cartilage using an endoscope | 384 | $368.1K | $958.47 | 13.95x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.1K | $348.9K | $321.31 | 7.84x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.3K | $318.1K | $240.09 | 11.87x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 657 | $308.4K | $469.42 | 5.93x |
| 29880 | Removal of both knee cartilages using an endoscope | 306 | $291.9K | $953.82 | 14.01x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 937 | $291.4K | $310.97 | 8.09x |
| 64721 | Release and/or relocation of median nerve of hand | 449 | $252.3K | $561.83 | 9.12x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.0K | $251.0K | $244.62 | 11.10x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 110 | $235.7K | $2.1K | 5.56x |
| 45381 | Injections of large bowel using an endoscope | 1.0K | $227.6K | $224.03 | 13.07x |
| 29848 | Release of wrist ligament using an endoscope | 345 | $158.0K | $457.98 | 16.61x |
This provider submits charges 9.49 times higher than what Medicare actually pays.
A markup ratio of 9.49x means for every $100 Medicare pays, this provider initially charges $949. 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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