This provider's $9.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.03x 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $6.8K | $682.85 | 9.92x | $6.1K | $724.8K | 1.9K | 1.5K |
| 2015 | $7.0K | $749.58 | 9.30x | $6.2K | $872.0K | 2.1K | 1.7K |
| 2016 | $6.5K | $589.29 | 11.10x | $6.0K | $889.7K | 2.5K | 1.9K |
| 2017 | $6.4K | $704.69 | 9.10x | $5.7K | $844.2K | 2.3K | 1.8K |
| 2018 | $6.9K | $769.96 | 9.01x | $6.2K | $996.1K | 2.6K | 2.0K |
| 2019 | $7.0K | $785.54 | 8.88x | $6.2K | $1.1M | 2.6K | 2.1K |
| 2020 | $8.3K | $945.64 | 8.73x | $7.3K | $1.1M | 2.4K | 1.9K |
| 2021 | $6.8K | $789.76 | 8.65x | $6.0K | $989.6K | 2.3K | 1.9K |
| 2022 | $6.8K | $887.11 | 7.67x | $5.9K | $1.2M | 2.5K | 2.1K |
| 2023 | $7.3K | $900.39 | 8.06x | $6.4K | $1.1M | 2.2K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.2K | $1.5M | $282.74 | 9.65x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.2K | $1.1M | $264.07 | 10.33x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 438 | $906.8K | $2.1K | 6.98x |
| 20900 | Small bone graft harvest | 447 | $799.1K | $1.8K | 4.23x |
| 29880 | Removal of both knee cartilages using an endoscope | 407 | $457.0K | $1.1K | 7.13x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.8K | $382.6K | $135.50 | 20.13x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 104 | $355.8K | $3.4K | 4.97x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.3K | $352.2K | $275.57 | 9.90x |
| 29881 | Removal of one knee cartilage using an endoscope | 316 | $349.4K | $1.1K | 7.25x |
| 29848 | Release of wrist ligament using an endoscope | 435 | $306.9K | $705.63 | 14.49x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 389 | $269.3K | $692.25 | 20.24x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 103 | $266.6K | $2.6K | 6.82x |
| 64721 | Release and/or relocation of median nerve of hand | 326 | $213.2K | $654.01 | 8.05x |
| 20680 | Removal of deep bone implant | 223 | $197.8K | $887.21 | 8.20x |
| 28285 | Correction of toe joint deformity | 311 | $180.2K | $579.26 | 11.89x |
| 62264 | Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day | 538 | $174.4K | $324.12 | 12.40x |
| 29821 | Removal of entire shoulder joint lining using an endoscope | 217 | $154.0K | $709.87 | 19.74x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 494 | $127.7K | $258.53 | 10.55x |
| 27447 | Repair of knee joint | 15 | $119.3K | $8.0K | 8.55x |
| 62311 | Injections of substances into lower or sacral spine | 752 | $113.3K | $150.61 | 18.11x |
This provider submits charges 10.03 times higher than what Medicare actually pays.
A markup ratio of 10.03x means for every $100 Medicare pays, this provider initially charges $1003. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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