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 14.04x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $3.0K | $1.1K | 2.80x | $1.9K | $717.5K | 1.7K | 1.4K |
| 2021 | $8.1K | $1.1K | 7.63x | $7.0K | $897.6K | 2.2K | 1.9K |
| 2022 | $7.5K | $447.80 | 16.74x | $7.0K | $730.0K | 2.3K | 2.0K |
| 2023 | $7.4K | $441.50 | 16.72x | $6.9K | $987.3K | 3.1K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 26 | $435.5K | $16.8K | 2.04x |
| 45380 | Biopsy of large bowel using an endoscope | 1.3K | $405.3K | $318.17 | 18.40x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 810 | $319.2K | $394.13 | 13.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.1K | $300.1K | $276.11 | 14.34x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 589 | $282.3K | $479.31 | 9.87x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.2K | $256.6K | $221.98 | 21.36x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 996 | $239.6K | $240.54 | 12.59x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 50 | $168.1K | $3.4K | 9.41x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 631 | $149.5K | $236.95 | 20.90x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 654 | $131.6K | $201.27 | 17.11x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 259 | $87.7K | $338.70 | 18.78x |
| 43249 | Balloon dilation of esophagus using an endoscope | 166 | $86.0K | $517.84 | 11.07x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 333 | $76.3K | $229.15 | 21.48x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 282 | $70.0K | $248.08 | 15.46x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 121 | $58.9K | $486.92 | 12.07x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 144 | $51.1K | $355.03 | 19.50x |
| 64721 | Release and/or relocation of median nerve of hand | 80 | $46.1K | $576.09 | 11.22x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 62 | $29.3K | $472.64 | 10.88x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 118 | $28.3K | $240.09 | 26.63x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 34 | $20.5K | $601.51 | 14.69x |
This provider submits charges 14.04 times higher than what Medicare actually pays.
A markup ratio of 14.04x means for every $100 Medicare pays, this provider initially charges $1404. 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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