This provider's $3.3M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.66x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1093% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 742% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $10.5K | $644.48 | 16.28x | $9.8K | $155.9K | 350 | 320 |
| 2022 | $17.4K | $2.0K | 8.79x | $15.4K | $1.3M | 2.1K | 1.7K |
| 2023 | $24.2K | $2.3K | 10.36x | $21.9K | $1.9M | 2.3K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 57 | $1.1M | $19.0K | 5.10x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 114 | $416.1K | $3.7K | 14.51x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 1.4K | $399.3K | $291.67 | 17.74x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 35 | $269.6K | $7.7K | 12.31x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 336 | $173.0K | $514.92 | 19.38x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 44 | $152.7K | $3.5K | 15.56x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance, single level | 575 | $150.1K | $261.11 | 19.75x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 468 | $119.0K | $254.26 | 15.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 421 | $107.2K | $254.64 | 15.51x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 197 | $106.4K | $539.91 | 18.50x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance, single level | 385 | $104.6K | $271.68 | 18.99x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 16 | $69.8K | $4.4K | 15.31x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 269 | $68.4K | $254.10 | 15.54x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level | 227 | $66.1K | $291.39 | 17.75x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 55 | $33.1K | $601.25 | 16.63x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 68 | $8.3K | $121.60 | 16.82x |
| 20610 | Aspiration and/or injection of fluid from large joint | 87 | $1.9K | $22.05 | 18.66x |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 14 | $376.80 | $26.91 | 22.48x |
This provider submits charges 12.66 times higher than what Medicare actually pays.
A markup ratio of 12.66x means for every $100 Medicare pays, this provider initially charges $1266. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ 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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