This provider's $18.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 545% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 283% in 2021
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 | $2.3K | $621.94 | 3.74x | $1.7K | $829.0K | 1.3K | 20 |
| 2015 | $2.2K | $614.13 | 3.62x | $1.6K | $899.1K | 1.5K | 22 |
| 2016 | $2.3K | $555.92 | 4.13x | $1.7K | $949.5K | 1.7K | 22 |
| 2017 | $2.4K | $581.27 | 4.19x | $1.9K | $926.5K | 1.6K | 26 |
| 2018 | $2.6K | $634.67 | 4.02x | $1.9K | $986.3K | 1.6K | 25 |
| 2019 | $2.4K | $593.05 | 4.11x | $1.8K | $808.3K | 1.4K | 22 |
| 2020 | $6.6K | $1.5K | 4.43x | $5.1K | $773.6K | 522 | 16 |
| 2021 | $10.5K | $2.4K | 4.36x | $8.1K | $3.0M | 1.2K | 20 |
| 2022 | $10.6K | $2.6K | 4.03x | $8.0K | $4.2M | 1.6K | 24 |
| 2023 | $1.2K | $281.53 | 4.40x | $956.22 | $5.3M | 19.0K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 903 | $6.2M | $6.8K | 4.38x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 530 | $3.7M | $6.9K | 4.30x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 639 | $1.0M | $1.6K | 3.60x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 280 | $558.7K | $2.0K | 2.94x |
| 29880 | Removal of both knee cartilages using an endoscope | 541 | $518.2K | $957.93 | 3.45x |
| 26055 | Incision of tendon covering of finger | 1.1K | $469.9K | $415.88 | 4.23x |
| 64721 | Release and/or relocation of hand nerve | 830 | $450.0K | $542.19 | 3.97x |
| 28750 | Fusion of big toe at joint with foot | 161 | $434.9K | $2.7K | 2.76x |
| 29881 | Removal of knee cartilage using an endoscope | 450 | $431.2K | $958.21 | 3.46x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 573 | $420.4K | $733.76 | 4.14x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 720 | $414.9K | $576.22 | 5.37x |
| 20680 | Removal of deep implant from bone | 458 | $349.0K | $762.03 | 3.41x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 513 | $309.6K | $603.49 | 3.01x |
| 29848 | Release of wrist ligament using an endoscope | 514 | $305.1K | $593.53 | 5.13x |
| 62311 | Injections of substances into lower or sacral spine | 1.1K | $300.4K | $275.35 | 3.97x |
| 23430 | Anchoring of biceps tendon | 162 | $283.8K | $1.8K | 3.75x |
| 25447 | Removal of bone joints between wrist and fingers | 310 | $277.3K | $894.59 | 3.72x |
| 28313 | Reconstruction of soft tissue angular deformity of toe | 381 | $214.5K | $562.88 | 4.94x |
| 28285 | Correction of toe joint deformity | 407 | $211.9K | $520.69 | 5.54x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 759 | $162.6K | $214.27 | 5.01x |
This provider submits charges 4.19 times higher than what Medicare actually pays.
A markup ratio of 4.19x means for every $100 Medicare pays, this provider initially charges $419. 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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