This provider's $29.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 59% from 2014 to 2023.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $449.49 | $301.92 | 1.49x | $147.57 | $2.2M | 7.4K | 30 |
| 2015 | $417.66 | $267.47 | 1.56x | $150.19 | $2.0M | 7.6K | 34 |
| 2016 | $560.09 | $354.27 | 1.58x | $205.82 | $2.4M | 6.9K | 41 |
| 2017 | $535.62 | $336.76 | 1.59x | $198.86 | $2.7M | 7.9K | 42 |
| 2018 | $495.30 | $309.03 | 1.60x | $186.27 | $3.1M | 10.1K | 48 |
| 2019 | $933.60 | $377.05 | 2.48x | $556.55 | $3.6M | 9.5K | 48 |
| 2020 | $3.0K | $404.50 | 7.38x | $2.6K | $3.4M | 8.4K | 47 |
| 2021 | $3.0K | $402.46 | 7.54x | $2.6K | $3.3M | 8.2K | 45 |
| 2022 | $3.3K | $438.15 | 7.61x | $2.9K | $3.5M | 7.9K | 42 |
| 2023 | $3.5K | $466.14 | 7.61x | $3.1K | $3.5M | 7.6K | 50 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 4.8K | $3.6M | $750.87 | 3.45x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 9.7K | $3.5M | $359.19 | 3.91x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 11.2K | $3.3M | $293.69 | 4.45x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 11.4K | $2.4M | $209.96 | 6.23x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.7K | $911.7K | $338.41 | 4.04x |
| 64721 | Release and/or relocation of hand nerve | 1.5K | $857.0K | $559.76 | 3.70x |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 1.7K | $816.5K | $487.18 | 3.73x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.2K | $723.8K | $590.88 | 4.76x |
| 27447 | Replacement of knee joint, both sides of knee | 102 | $674.1K | $6.6K | 6.16x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 2.3K | $610.9K | $266.89 | 4.37x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $552.6K | $465.19 | 4.77x |
| 49650 | Repair of groin hernia using an endoscope | 376 | $530.1K | $1.4K | 4.57x |
| 26055 | Incision of tendon covering of finger | 1.2K | $517.5K | $424.89 | 4.55x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 657 | $493.1K | $750.48 | 3.43x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 2.1K | $492.2K | $234.06 | 5.52x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 2.1K | $489.9K | $230.54 | 7.36x |
| 67904 | Repair of tendon of upper eyelid | 945 | $472.8K | $500.28 | 4.26x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.3K | $453.6K | $338.76 | 2.90x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.3K | $430.0K | $188.20 | 5.55x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 298 | $403.2K | $1.4K | 3.65x |
This provider submits charges 4.43 times higher than what Medicare actually pays.
A markup ratio of 4.43x means for every $100 Medicare pays, this provider initially charges $443. 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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