This provider's $13.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.6x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 843% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 549% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $19.3K | $3.8K | 5.12x | $15.5K | $428.9K | 114 | 4 |
| 2020 | $20.2K | $4.0K | 5.02x | $16.2K | $2.8M | 690 | 12 |
| 2021 | $15.0K | $2.6K | 5.76x | $12.4K | $3.6M | 1.4K | 18 |
| 2022 | $4.2K | $676.62 | 6.16x | $3.5K | $3.0M | 4.5K | 18 |
| 2023 | $4.1K | $739.99 | 5.50x | $3.3K | $4.0M | 5.5K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 310 | $5.5M | $17.8K | 4.50x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 145 | $1.8M | $12.6K | 4.57x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 451 | $1.6M | $3.5K | 4.50x |
| 27279 | Fusion of pelvic joint using imaging guidance | 80 | $866.9K | $10.8K | 6.04x |
| 22612 | Fusion of spine in lower back | 88 | $713.5K | $8.1K | 6.61x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 45 | $477.4K | $10.6K | 4.34x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 63 | $461.2K | $7.3K | 7.74x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 129 | $419.5K | $3.3K | 6.88x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 97 | $362.7K | $3.7K | 4.21x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 40 | $304.2K | $7.6K | 4.18x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 130 | $224.3K | $1.7K | 12.96x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 315 | $186.8K | $593.01 | 11.72x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 676 | $178.8K | $264.56 | 11.40x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 711 | $174.0K | $244.74 | 15.12x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 11 | $151.8K | $13.8K | 3.77x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 457 | $111.0K | $242.81 | 12.42x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 473 | $95.2K | $201.26 | 14.98x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 245 | $69.0K | $281.74 | 13.13x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 248 | $59.3K | $239.21 | 12.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 77 | $47.7K | $618.87 | 11.23x |
This provider submits charges 5.6 times higher than what Medicare actually pays.
A markup ratio of 5.6x means for every $100 Medicare pays, this provider initially charges $560. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data