This provider's $3.6M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.59x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 271% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 125% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $6.3K | $802.59 | 7.90x | $5.5K | $387.5K | 496 | 332 |
| 2021 | $5.7K | $572.32 | 9.98x | $5.1K | $871.3K | 1.4K | 967 |
| 2022 | $5.8K | $975.49 | 5.98x | $4.9K | $926.5K | 1.4K | 973 |
| 2023 | $8.3K | $1.6K | 5.32x | $6.8K | $1.4M | 1.3K | 947 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.1K | $1.7M | $807.95 | 10.29x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 67 | $510.1K | $7.6K | 2.79x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 94 | $241.0K | $2.6K | 4.01x |
| 0191T | Internal insertion of eye fluid drainage device | 84 | $186.9K | $2.2K | 3.72x |
| 66174 | Dilation to improve eye fluid flow | 179 | $170.1K | $950.34 | 15.43x |
| 27447 | Replacement of knee joint, both sides of knee | 21 | $153.4K | $7.3K | 4.27x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 472 | $137.5K | $291.40 | 10.06x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 16 | $119.3K | $7.5K | 3.29x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 366 | $89.6K | $244.86 | 13.40x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 280 | $57.3K | $204.62 | 17.49x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 110 | $57.0K | $518.41 | 6.59x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance, single level | 140 | $38.2K | $272.89 | 18.94x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 55 | $34.7K | $630.66 | 5.36x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 12 | $24.5K | $2.0K | 9.38x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 95 | $22.8K | $239.84 | 13.68x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance, single level | 82 | $22.3K | $271.68 | 19.03x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 182 | $19.0K | $104.17 | 26.44x |
| 29848 | Release of wrist ligament using an endoscope | 34 | $18.8K | $553.00 | 10.33x |
| 66982 | Removal of cataract with insertion of lens, complex | 24 | $17.0K | $707.13 | 12.76x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 60 | $12.9K | $214.64 | 8.65x |
This provider submits charges 8.59 times higher than what Medicare actually pays.
A markup ratio of 8.59x means for every $100 Medicare pays, this provider initially charges $859. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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