This provider's $3.3M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% in 2017
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 | $2.8K | $1.1K | 2.51x | $1.7K | $166.9K | 158 | 155 |
| 2015 | $2.8K | $1.0K | 2.74x | $1.8K | $248.9K | 255 | 244 |
| 2016 | $2.7K | $932.54 | 2.86x | $1.7K | $201.1K | 238 | 227 |
| 2017 | $5.8K | $2.3K | 2.56x | $3.5K | $413.5K | 352 | 321 |
| 2018 | $4.9K | $1.7K | 2.80x | $3.2K | $532.0K | 575 | 518 |
| 2019 | $5.4K | $2.0K | 2.69x | $3.4K | $692.3K | 509 | 460 |
| 2020 | $1.9K | $633.52 | 2.92x | $1.2K | $209.6K | 383 | 342 |
| 2021 | $2.2K | $738.67 | 3.00x | $1.5K | $276.2K | 437 | 392 |
| 2022 | $1.9K | $665.64 | 2.81x | $1.2K | $243.8K | 388 | 362 |
| 2023 | $2.3K | $755.66 | 2.98x | $1.5K | $269.6K | 420 | 389 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 44 | $827.3K | $18.8K | 2.49x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 507 | $563.4K | $1.1K | 2.59x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 351 | $283.5K | $807.75 | 3.22x |
| 19301 | Partial removal of breast | 379 | $233.6K | $616.38 | 4.08x |
| 49505 | Repair of groin hernia patient age 5 years or older | 116 | $133.1K | $1.1K | 2.73x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 482 | $120.5K | $250.07 | 2.62x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 372 | $113.7K | $305.69 | 2.79x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 28 | $106.8K | $3.8K | 2.67x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 86 | $98.5K | $1.1K | 2.78x |
| 19303 | Total removal of breast | 51 | $81.0K | $1.6K | 3.03x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 56 | $75.1K | $1.3K | 2.72x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 30 | $73.1K | $2.4K | 2.77x |
| 64721 | Release and/or relocation of median nerve of hand | 113 | $71.9K | $635.86 | 2.61x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 234 | $61.5K | $262.68 | 3.44x |
| 29848 | Release of wrist ligament using an endoscope | 109 | $58.2K | $533.67 | 3.57x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 36 | $56.0K | $1.6K | 2.95x |
| 47562 | Removal of gallbladder using an endoscope | 31 | $51.7K | $1.7K | 2.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 211 | $48.9K | $231.53 | 3.44x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 46 | $48.6K | $1.1K | 2.56x |
| 49650 | Repair of groin hernia using an endoscope | 26 | $38.7K | $1.5K | 3.01x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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