This provider's $4.1M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.85x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1035% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 403% in 2015
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 | $10.9K | $584.41 | 18.72x | $10.4K | $82.1K | 198 | 170 |
| 2015 | $13.0K | $1.9K | 6.78x | $11.0K | $413.3K | 328 | 285 |
| 2016 | $10.8K | $1.9K | 5.83x | $8.9K | $462.6K | 368 | 311 |
| 2017 | $11.2K | $2.2K | 5.12x | $9.0K | $428.5K | 475 | 387 |
| 2018 | $10.4K | $594.04 | 17.50x | $9.8K | $236.7K | 428 | 362 |
| 2019 | $41.3K | $4.5K | 9.10x | $36.7K | $251.4K | 127 | 108 |
| 2020 | $20.0K | $2.2K | 9.00x | $17.7K | $727.2K | 387 | 345 |
| 2022 | $25.4K | $3.5K | 7.35x | $21.9K | $524.1K | 254 | 236 |
| 2023 | $18.5K | $2.2K | 8.59x | $16.4K | $931.8K | 543 | 455 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 90 | $1.4M | $15.2K | 2.95x |
| 66984 | Removal of cataract with insertion of lens | 660 | $560.8K | $849.66 | 13.01x |
| 22856 | Insertion of artificial upper spine disc, anterior approach | 39 | $397.6K | $10.2K | 6.03x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 46 | $366.3K | $8.0K | 6.26x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 123 | $287.4K | $2.3K | 21.64x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 43 | $190.8K | $4.4K | 9.30x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 48 | $174.0K | $3.6K | 7.09x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 589 | $163.4K | $277.35 | 23.08x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 408 | $114.9K | $281.67 | 25.09x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 274 | $76.7K | $280.07 | 29.24x |
| 57288 | Creation of sling around urethra in female to control leakage | 16 | $36.1K | $2.3K | 14.23x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 104 | $29.1K | $279.96 | 29.79x |
| 28285 | Correction of toe joint deformity | 44 | $28.8K | $654.83 | 17.59x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 113 | $27.6K | $244.41 | 15.45x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 17 | $27.3K | $1.6K | 11.50x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 69 | $25.9K | $374.92 | 3.69x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 36 | $23.0K | $638.09 | 14.91x |
| 58558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | 17 | $22.2K | $1.3K | 12.64x |
| 20900 | Harvest of graft from small bone | 11 | $21.6K | $2.0K | 17.02x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 18 | $17.7K | $981.87 | 15.58x |
This provider submits charges 9.85 times higher than what Medicare actually pays.
A markup ratio of 9.85x means for every $100 Medicare pays, this provider initially charges $985. 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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