This provider's $12.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $44.5K | $10.5K | 4.25x | $34.0K | $2.8M | 265 | 6 |
| 2021 | $38.3K | $8.9K | 4.29x | $29.3K | $3.3M | 370 | 8 |
| 2022 | $35.0K | $8.3K | 4.22x | $26.7K | $3.3M | 398 | 9 |
| 2023 | $36.1K | $8.1K | 4.44x | $27.9K | $3.5M | 432 | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion of implantable defibrillator system | 194 | $4.1M | $21.0K | 4.20x |
| 33208 | Insertion of pacemaker and upper and lower heart chamber electrode | 418 | $2.6M | $6.2K | 4.53x |
| 33285 | Insertion of heart rhythm monitor under skin | 287 | $1.6M | $5.7K | 3.99x |
| 33264 | Removal and replacement of multiple lead defibrillator | 69 | $1.5M | $21.4K | 4.19x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 139 | $863.9K | $6.2K | 4.53x |
| 33207 | Insertion of pacemaker and lower heart chamber electrode | 129 | $759.4K | $5.9K | 4.78x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker | 72 | $698.8K | $9.7K | 4.32x |
| 33263 | Removal and replacement of dual lead defibrillator | 23 | $339.6K | $14.8K | 4.58x |
| C7539 | Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacema | 39 | $287.7K | $7.4K | 3.93x |
| C7538 | Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defribrillator or pacemaker pulse | 16 | $125.0K | $7.8K | 3.83x |
| 33286 | Removal of heart rhythm monitor from under the skin | 79 | $20.3K | $257.41 | 7.13x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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