This provider's $9.0M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 658% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 320% in 2020
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 | $5.2K | $1.0K | 5.06x | $4.2K | $262.8K | 277 | 255 |
| 2015 | $5.5K | $1.0K | 5.38x | $4.5K | $286.9K | 318 | 297 |
| 2016 | $5.8K | $932.58 | 6.20x | $4.9K | $295.3K | 335 | 321 |
| 2017 | $5.7K | $810.80 | 6.97x | $4.8K | $207.9K | 258 | 246 |
| 2018 | $5.9K | $949.20 | 6.23x | $5.0K | $302.7K | 348 | 328 |
| 2019 | $5.7K | $793.61 | 7.14x | $4.9K | $243.5K | 278 | 270 |
| 2020 | $7.4K | $1.4K | 5.21x | $6.0K | $1.0M | 344 | 332 |
| 2021 | $9.7K | $1.9K | 5.02x | $7.8K | $2.3M | 602 | 576 |
| 2022 | $10.9K | $2.1K | 5.28x | $8.9K | $2.1M | 489 | 470 |
| 2023 | $11.3K | $2.4K | 4.82x | $9.0K | $2.0M | 418 | 395 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 691 | $4.7M | $6.8K | 3.83x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 267 | $1.8M | $6.9K | 3.91x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 322 | $657.5K | $2.0K | 4.58x |
| 29881 | Removal of one knee cartilage using an endoscope | 514 | $495.8K | $964.68 | 5.53x |
| 64721 | Release and/or relocation of median nerve of hand | 498 | $282.4K | $567.03 | 5.88x |
| 29880 | Removal of both knee cartilages using an endoscope | 226 | $218.5K | $966.85 | 5.50x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 244 | $215.6K | $883.63 | 7.47x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 256 | $172.3K | $673.17 | 11.51x |
| 26055 | Incision of tendon covering | 306 | $133.1K | $434.95 | 7.07x |
| 26480 | Transplant of tendon of hand | 69 | $56.5K | $818.60 | 5.80x |
| 25447 | Removal of bone joints between wrist and fingers | 92 | $56.3K | $611.92 | 10.95x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 25 | $50.8K | $2.0K | 4.54x |
| 28750 | Fusion of great toe at the joint with the foot | 12 | $39.3K | $3.3K | 4.54x |
| 23410 | Repair of torn tendons of shoulder, open procedure | 23 | $39.1K | $1.7K | 4.51x |
| 23120 | Partial removal of collar bone | 71 | $38.9K | $548.12 | 10.10x |
| 29877 | Removal or shaving of knee joint cartilage using an endoscope | 18 | $14.9K | $826.83 | 6.15x |
| 28285 | Correction of toe joint deformity | 19 | $10.5K | $550.65 | 9.28x |
| 28308 | Incision to straighten toe bone (other than the big toe) at the midfoot bone (metatarsal) level | 14 | $8.8K | $626.06 | 8.29x |
This provider submits charges 4.49 times higher than what Medicare actually pays.
A markup ratio of 4.49x means for every $100 Medicare pays, this provider initially charges $449. 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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