This provider's $14.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.14x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 188% 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 | $8.1K | $726.07 | 11.19x | $7.4K | $718.5K | 1.5K | 1.2K |
| 2015 | $8.1K | $662.28 | 12.16x | $7.4K | $721.9K | 1.7K | 1.3K |
| 2016 | $9.8K | $1.3K | 7.29x | $8.4K | $1.0M | 1.9K | 1.4K |
| 2017 | $12.4K | $1.4K | 8.71x | $11.0K | $1.2M | 2.1K | 1.6K |
| 2018 | $12.2K | $1.4K | 8.66x | $10.8K | $1.4M | 2.2K | 1.8K |
| 2019 | $12.1K | $1.3K | 9.41x | $10.8K | $1.7M | 2.6K | 2.2K |
| 2020 | $11.8K | $1.4K | 8.67x | $10.4K | $1.6M | 2.1K | 1.8K |
| 2021 | $12.0K | $1.4K | 8.58x | $10.6K | $2.2M | 2.8K | 2.3K |
| 2022 | $11.8K | $1.3K | 8.97x | $10.5K | $2.3M | 2.7K | 2.3K |
| 2023 | $14.1K | $1.5K | 9.10x | $12.5K | $2.1M | 2.1K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 163 | $2.8M | $17.4K | 3.53x |
| 49650 | Repair of groin hernia using an endoscope | 757 | $1.2M | $1.5K | 11.73x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 285 | $975.9K | $3.4K | 5.09x |
| 64721 | Release and/or relocation of median nerve of hand | 1.6K | $951.3K | $590.49 | 10.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.3K | $884.5K | $270.16 | 11.47x |
| 47562 | Removal of gallbladder using an endoscope | 349 | $608.7K | $1.7K | 10.48x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 307 | $559.0K | $1.8K | 12.01x |
| 66984 | Removal of cataract with insertion of lens | 727 | $557.6K | $766.98 | 10.45x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.3K | $531.4K | $231.95 | 13.03x |
| 66982 | Removal of cataract with insertion of lens | 570 | $444.1K | $779.13 | 10.31x |
| 26055 | Incision of tendon covering | 957 | $437.8K | $457.49 | 14.20x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 711 | $392.2K | $551.61 | 12.47x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $364.2K | $245.55 | 14.97x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 86 | $279.3K | $3.2K | 7.74x |
| 26123 | Removal of tissue of palm | 280 | $277.0K | $989.14 | 11.04x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.2K | $271.3K | $223.08 | 14.24x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 106 | $218.2K | $2.1K | 10.85x |
| 62311 | Injections of substances into lower or sacral spine | 773 | $210.4K | $272.20 | 11.72x |
| 22867 | Insertion of stabilizing or separating device into lower spine at single level with open decompression | 26 | $210.0K | $8.1K | 4.89x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 352 | $208.1K | $591.13 | 32.54x |
This provider submits charges 10.14 times higher than what Medicare actually pays.
A markup ratio of 10.14x means for every $100 Medicare pays, this provider initially charges $1014. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data