This provider's $10.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 474% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 146% in 2018
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 | $6.3K | $632.11 | 9.95x | $5.7K | $279.0K | 393 | 308 |
| 2015 | $8.0K | $723.36 | 10.99x | $7.2K | $299.4K | 432 | 331 |
| 2016 | $7.5K | $695.64 | 10.72x | $6.8K | $409.9K | 651 | 470 |
| 2017 | $13.0K | $1.7K | 7.67x | $11.3K | $574.4K | 674 | 507 |
| 2018 | $14.4K | $3.1K | 4.65x | $11.3K | $1.4M | 726 | 550 |
| 2019 | $14.2K | $3.0K | 4.76x | $11.3K | $1.7M | 762 | 566 |
| 2020 | $14.7K | $4.6K | 3.19x | $10.1K | $1.5M | 713 | 510 |
| 2021 | $16.4K | $3.9K | 4.19x | $12.5K | $1.3M | 669 | 470 |
| 2022 | $14.0K | $4.1K | 3.38x | $9.8K | $1.4M | 898 | 622 |
| 2023 | $12.7K | $3.8K | 3.38x | $9.0K | $1.6M | 737 | 534 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 260 | $4.5M | $17.5K | 3.81x |
| 66984 | Removal of cataract with insertion of lens | 4.2K | $3.3M | $780.71 | 6.42x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 215 | $764.7K | $3.6K | 2.07x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 83 | $623.3K | $7.5K | 3.75x |
| 66982 | Removal of cataract with insertion of lens | 457 | $356.6K | $780.38 | 6.39x |
| 63655 | Implantation of spinal neurostimulator electrodes | 13 | $162.1K | $12.5K | 1.47x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 315 | $157.9K | $501.14 | 13.36x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 48 | $91.4K | $1.9K | 9.47x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 373 | $85.8K | $229.96 | 12.81x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 134 | $72.9K | $544.33 | 12.38x |
| 64721 | Release and/or relocation of median nerve of hand | 118 | $70.5K | $597.74 | 9.94x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 13 | $69.8K | $5.4K | 4.84x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 16 | $59.2K | $3.7K | 4.87x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 11 | $25.4K | $2.3K | 7.80x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 260 | $19.8K | $76.03 | 5.39x |
| 20680 | Removal of deep bone implant | 23 | $18.5K | $805.41 | 9.93x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 13 | $3.8K | $294.82 | 10.00x |
| 11642 | Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips | 12 | $1.4K | $116.41 | 24.92x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 44 | $41.78 | $0.95 | 1.27x |
This provider submits charges 4.97 times higher than what Medicare actually pays.
A markup ratio of 4.97x means for every $100 Medicare pays, this provider initially charges $497. 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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