This provider's $12.3M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 302% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $3.2K | $808.90 | 3.94x | $2.4K | $484.2K | 706 | 517 |
| 2016 | $3.3K | $821.21 | 4.05x | $2.5K | $573.0K | 714 | 530 |
| 2017 | $3.7K | $1.1K | 3.32x | $2.6K | $752.5K | 777 | 587 |
| 2018 | $8.1K | $1.7K | 4.81x | $6.4K | $1.3M | 1.0K | 770 |
| 2019 | $5.4K | $1.4K | 3.83x | $4.0K | $1.6M | 1.5K | 1.2K |
| 2020 | $5.9K | $1.7K | 3.48x | $4.2K | $1.6M | 1.4K | 1.1K |
| 2021 | $3.8K | $1.1K | 3.46x | $2.7K | $2.1M | 2.2K | 1.8K |
| 2022 | $4.4K | $1.3K | 3.38x | $3.1K | $1.9M | 2.1K | 1.7K |
| 2023 | $3.6K | $1.1K | 3.35x | $2.5K | $1.9M | 2.1K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.6K | $4.2M | $916.40 | 3.25x |
| 0191T | Internal insertion of eye fluid drainage device | 398 | $891.3K | $2.2K | 2.67x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 111 | $733.9K | $6.6K | 3.54x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 43 | $652.9K | $15.2K | 3.80x |
| 19301 | Partial removal of breast | 499 | $404.7K | $811.01 | 4.51x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 368 | $375.0K | $1.0K | 3.71x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.0K | $340.1K | $333.45 | 3.94x |
| 66183 | Insertion of eye fluid drainage device | 138 | $327.0K | $2.4K | 2.35x |
| 50590 | Shock wave crushing of kidney stones | 241 | $322.9K | $1.3K | 4.28x |
| 49505 | Repair of groin hernia patient age 5 years or older | 211 | $275.4K | $1.3K | 3.67x |
| 49650 | Repair of groin hernia using an endoscope | 135 | $222.7K | $1.6K | 3.94x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 681 | $215.4K | $316.35 | 4.26x |
| 66982 | Removal of cataract with insertion of lens | 233 | $211.6K | $908.10 | 3.32x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 41 | $189.2K | $4.6K | 3.92x |
| 66175 | Dilation with insertion of device or stent to improve eye fluid flow | 96 | $161.1K | $1.7K | 3.37x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 39 | $157.8K | $4.0K | 3.82x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 232 | $144.3K | $621.79 | 5.15x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 64 | $140.5K | $2.2K | 2.59x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 225 | $132.0K | $586.78 | 4.11x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 133 | $131.6K | $989.46 | 3.78x |
This provider submits charges 3.55 times higher than what Medicare actually pays.
A markup ratio of 3.55x means for every $100 Medicare pays, this provider initially charges $355. 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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