This provider's $12.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.85x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% 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 | $6.0K | $985.25 | 6.08x | $5.0K | $1.4M | 2.0K | 1.5K |
| 2015 | $5.9K | $862.96 | 6.80x | $5.0K | $1.4M | 2.2K | 1.7K |
| 2016 | $7.1K | $1.0K | 7.07x | $6.1K | $1.6M | 2.1K | 1.7K |
| 2017 | $6.5K | $984.90 | 6.65x | $5.6K | $1.3M | 1.7K | 1.4K |
| 2018 | $7.0K | $887.68 | 7.93x | $6.2K | $997.3K | 1.2K | 933 |
| 2019 | $7.7K | $989.03 | 7.76x | $6.7K | $1.1M | 1.3K | 970 |
| 2020 | $6.9K | $871.97 | 7.93x | $6.0K | $874.4K | 1.0K | 815 |
| 2021 | $7.2K | $1.1K | 6.61x | $6.1K | $1.1M | 1.2K | 971 |
| 2022 | $7.7K | $1.1K | 6.71x | $6.5K | $1.1M | 1.1K | 880 |
| 2023 | $10.1K | $2.5K | 4.08x | $7.7K | $1.8M | 1.3K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.1K | $5.4M | $1.1K | 5.84x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.5K | $801.4K | $323.40 | 9.81x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 112 | $468.0K | $4.2K | 2.94x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 217 | $425.7K | $2.0K | 3.67x |
| 29880 | Removal of both knee cartilages using an endoscope | 268 | $357.2K | $1.3K | 8.60x |
| 29848 | Release of wrist ligament using an endoscope | 450 | $339.7K | $754.97 | 14.03x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 12 | $325.9K | $27.2K | 1.60x |
| 19301 | Partial removal of breast | 298 | $263.7K | $884.75 | 12.32x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 198 | $257.3K | $1.3K | 9.23x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 295 | $223.8K | $758.61 | 4.89x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 87 | $221.3K | $2.5K | 5.00x |
| 62311 | Injections of substances into lower or sacral spine | 611 | $217.5K | $355.96 | 8.34x |
| 25020 | Incision of tissue of forearm and/or wrist muscle compartment | 416 | $209.4K | $503.42 | 12.26x |
| 0191T | Internal insertion of eye fluid drainage device | 69 | $200.9K | $2.9K | 2.18x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 184 | $198.9K | $1.1K | 5.03x |
| 29881 | Removal of one knee cartilage using an endoscope | 154 | $194.6K | $1.3K | 8.42x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 726 | $192.2K | $264.79 | 10.05x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 547 | $171.5K | $313.50 | 10.78x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 46 | $165.2K | $3.6K | 1.95x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 425 | $146.8K | $345.45 | 9.77x |
This provider submits charges 6.85 times higher than what Medicare actually pays.
A markup ratio of 6.85x means for every $100 Medicare pays, this provider initially charges $685. 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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