This provider's $20.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.57x 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 | $3.9K | $560.88 | 6.92x | $3.3K | $1.5M | 2.8K | 2.2K |
| 2015 | $3.9K | $562.73 | 7.01x | $3.4K | $1.9M | 3.5K | 2.8K |
| 2016 | $3.9K | $548.05 | 7.05x | $3.3K | $1.9M | 3.9K | 2.9K |
| 2017 | $3.9K | $511.51 | 7.55x | $3.4K | $2.1M | 4.3K | 3.3K |
| 2018 | $4.0K | $551.93 | 7.21x | $3.4K | $2.0M | 4.2K | 3.2K |
| 2019 | $4.2K | $527.00 | 8.06x | $3.7K | $2.1M | 4.3K | 3.3K |
| 2020 | $4.7K | $643.17 | 7.25x | $4.0K | $1.9M | 3.6K | 2.8K |
| 2021 | $5.6K | $796.63 | 7.05x | $4.8K | $2.6M | 3.9K | 3.0K |
| 2022 | $6.1K | $891.29 | 6.84x | $5.2K | $2.3M | 3.7K | 2.9K |
| 2023 | $6.3K | $849.85 | 7.36x | $5.4K | $2.1M | 3.4K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 10.1K | $7.1M | $706.05 | 10.24x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 4.5K | $1.6M | $350.00 | 8.86x |
| 66982 | Removal of cataract with insertion of lens | 1.7K | $1.2M | $708.42 | 10.36x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 127 | $814.1K | $6.4K | 6.97x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.2K | $655.0K | $568.55 | 4.28x |
| 0191T | Internal insertion of eye fluid drainage device | 284 | $548.9K | $1.9K | 3.20x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 99 | $509.4K | $5.1K | 6.10x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 348 | $472.1K | $1.4K | 6.21x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 198 | $380.0K | $1.9K | 4.78x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.6K | $357.5K | $219.31 | 12.71x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.0K | $351.7K | $347.85 | 8.34x |
| 64721 | Release and/or relocation of median nerve of hand | 605 | $332.6K | $549.77 | 6.67x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $319.9K | $229.02 | 8.60x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 416 | $301.5K | $724.84 | 5.33x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 208 | $271.7K | $1.3K | 4.94x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.3K | $269.0K | $207.88 | 10.31x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.0K | $246.7K | $244.72 | 7.77x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 695 | $234.5K | $337.41 | 8.50x |
| 45380 | Biopsy of large bowel using an endoscope | 843 | $210.9K | $250.15 | 12.08x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 166 | $208.3K | $1.3K | 5.13x |
This provider submits charges 8.57 times higher than what Medicare actually pays.
A markup ratio of 8.57x means for every $100 Medicare pays, this provider initially charges $857. This is higher than the national average.
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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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