This provider's $7.5M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.4x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 615% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 174% in 2023
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $14.1K | $1.4K | 10.17x | $12.8K | $390.2K | 211 | 203 |
| 2015 | $16.5K | $1.6K | 10.16x | $14.9K | $385.4K | 214 | 197 |
| 2016 | $19.7K | $1.8K | 10.87x | $17.8K | $487.3K | 191 | 179 |
| 2017 | $16.1K | $1.2K | 13.06x | $14.9K | $388.8K | 281 | 265 |
| 2018 | $17.3K | $1.4K | 12.38x | $15.9K | $415.5K | 239 | 227 |
| 2019 | $16.0K | $1.2K | 13.21x | $14.8K | $555.8K | 307 | 290 |
| 2020 | $17.1K | $1.4K | 12.53x | $15.7K | $470.8K | 239 | 235 |
| 2021 | $16.8K | $1.5K | 11.51x | $15.3K | $584.6K | 271 | 260 |
| 2022 | $27.8K | $2.6K | 10.73x | $25.2K | $1.0M | 334 | 326 |
| 2023 | $24.6K | $2.4K | 10.19x | $22.2K | $2.8M | 605 | 577 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27446 | Repair of knee joint | 536 | $3.5M | $6.5K | 9.23x |
| 27447 | Replacement of knee joint, both sides of knee | 167 | $1.2M | $7.3K | 10.27x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 145 | $1.1M | $7.5K | 11.41x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 292 | $620.6K | $2.1K | 10.20x |
| 64721 | Release and/or relocation of median nerve of hand | 693 | $410.0K | $591.67 | 10.53x |
| 29881 | Removal of one knee cartilage using an endoscope | 146 | $138.9K | $951.40 | 11.00x |
| 26055 | Incision of tendon covering | 258 | $111.6K | $432.72 | 14.72x |
| 26480 | Transplant of tendon of hand | 113 | $103.3K | $914.24 | 10.89x |
| 25447 | Removal of bone joints between wrist and fingers | 108 | $70.4K | $652.21 | 21.40x |
| 29880 | Removal of both knee cartilages using an endoscope | 58 | $55.6K | $959.36 | 10.48x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 94 | $53.8K | $572.68 | 32.75x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 12 | $41.4K | $3.5K | 7.02x |
| 26160 | Removal of growth of tendon finger or hand | 60 | $31.5K | $524.85 | 12.48x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 37 | $23.3K | $630.52 | 30.40x |
| 29882 | Repair of inside or outside knee joint cartilage using an endoscope | 13 | $13.8K | $1.1K | 10.15x |
| 23430 | Anchoring of biceps tendon | 13 | $12.6K | $968.59 | 15.84x |
| 26123 | Removal of tissue of palm | 11 | $9.4K | $852.81 | 12.64x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 18 | $5.2K | $288.65 | 9.23x |
| 76000 | Imaging guidance for procedure, up to 1 hour | 69 | $1.6K | $22.88 | 69.92x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 49 | $47.28 | $0.96 | 4.63x |
This provider submits charges 10.4 times higher than what Medicare actually pays.
A markup ratio of 10.4x means for every $100 Medicare pays, this provider initially charges $1040. 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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