This provider's $10.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 535% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 192% in 2023
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 | $3.6K | $1.1K | 3.35x | $2.5K | $373.7K | 544 | 437 |
| 2015 | $3.1K | $825.02 | 3.79x | $2.3K | $320.9K | 490 | 401 |
| 2016 | $6.3K | $1.3K | 4.72x | $5.0K | $467.5K | 642 | 525 |
| 2017 | $11.1K | $2.8K | 4.00x | $8.3K | $1.2M | 470 | 421 |
| 2018 | $17.7K | $4.9K | 3.61x | $12.8K | $1.3M | 371 | 347 |
| 2019 | $15.2K | $4.2K | 3.60x | $11.0K | $1.3M | 368 | 343 |
| 2020 | $13.9K | $3.9K | 3.54x | $10.0K | $1.3M | 375 | 347 |
| 2021 | $14.2K | $4.5K | 3.14x | $9.7K | $1.2M | 356 | 324 |
| 2022 | $10.5K | $3.4K | 3.10x | $7.1K | $811.9K | 351 | 314 |
| 2023 | $12.4K | $4.1K | 3.01x | $8.3K | $2.4M | 565 | 509 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 142 | $2.8M | $20.1K | 3.46x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 126 | $1.9M | $15.1K | 3.31x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 309 | $1.2M | $3.9K | 3.50x |
| 50590 | Shock wave crushing of kidney stones | 682 | $790.4K | $1.2K | 4.58x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 106 | $561.9K | $5.3K | 3.61x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 141 | $464.1K | $3.3K | 1.98x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 42 | $400.3K | $9.5K | 3.37x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 78 | $335.5K | $4.3K | 2.65x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 75 | $325.4K | $4.3K | 3.46x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 432 | $234.3K | $542.29 | 4.88x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 227 | $219.7K | $967.66 | 3.86x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 113 | $190.1K | $1.7K | 3.25x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 17 | $153.1K | $9.0K | 3.35x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 486 | $145.0K | $298.45 | 4.33x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 181 | $126.5K | $698.76 | 3.40x |
| 67917 | Extensive repair of turning-outward eyelid defect | 179 | $104.3K | $582.54 | 4.06x |
| 67904 | Repair of tendon of upper eyelid | 156 | $87.7K | $561.96 | 4.24x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 44 | $68.2K | $1.5K | 3.67x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 31 | $62.8K | $2.0K | 4.15x |
| 62311 | Injections of substances into lower or sacral spine | 200 | $62.0K | $309.91 | 4.10x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| West Suburban Eye Surgery Center Llc | Waltham, MA | $37.4M | ✓ 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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