This provider's $5.9M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.01x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 75% 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 | $6.6K | $513.73 | 12.75x | $6.0K | $497.2K | 1.5K | 955 |
| 2015 | $6.1K | $480.28 | 12.68x | $5.6K | $468.8K | 1.4K | 919 |
| 2016 | $6.6K | $535.14 | 12.24x | $6.0K | $520.2K | 1.6K | 1.0K |
| 2017 | $6.6K | $523.73 | 12.51x | $6.0K | $423.2K | 1.5K | 981 |
| 2018 | $6.2K | $509.09 | 12.22x | $5.7K | $553.2K | 1.6K | 1.2K |
| 2019 | $6.9K | $543.15 | 12.72x | $6.4K | $496.4K | 1.6K | 1.1K |
| 2020 | $6.1K | $463.86 | 13.15x | $5.6K | $499.6K | 1.6K | 1.2K |
| 2021 | $6.1K | $492.14 | 12.40x | $5.6K | $689.7K | 1.9K | 1.4K |
| 2022 | $12.2K | $1.6K | 7.58x | $10.6K | $916.7K | 1.9K | 1.5K |
| 2023 | $13.5K | $2.0K | 6.80x | $11.5K | $867.9K | 1.5K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.9K | $1.4M | $488.40 | 11.45x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 355 | $1.1M | $3.0K | 12.03x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 35 | $606.1K | $17.3K | 5.48x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $556.2K | $232.60 | 12.77x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $485.1K | $213.31 | 13.92x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.8K | $380.1K | $212.82 | 13.81x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.8K | $336.3K | $186.41 | 16.18x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $230.0K | $211.60 | 13.89x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 421 | $228.6K | $542.97 | 8.17x |
| 62311 | Injections of substances into lower or sacral spine | 741 | $184.9K | $249.58 | 11.79x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 554 | $143.5K | $259.02 | 11.47x |
| 62310 | Injections of substances into upper or middle spine | 462 | $116.1K | $251.28 | 11.70x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 172 | $97.2K | $565.06 | 10.73x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 885 | $16.3K | $18.42 | 135.70x |
| 64451 | Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance | 89 | $16.1K | $180.37 | 13.33x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 16 | $8.4K | $526.23 | 5.70x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 55 | $6.0K | $109.66 | 13.68x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 16 | $3.7K | $234.28 | 12.55x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 14 | $238.34 | $17.02 | 88.11x |
This provider submits charges 12.01 times higher than what Medicare actually pays.
A markup ratio of 12.01x means for every $100 Medicare pays, this provider initially charges $1201. 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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