This provider's $23.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.32x 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 | $3.7K | $602.99 | 6.16x | $3.1K | $1.9M | 4.7K | 2.0K |
| 2015 | $3.8K | $590.69 | 6.38x | $3.2K | $2.0M | 4.9K | 2.2K |
| 2016 | $3.2K | $479.13 | 6.69x | $2.7K | $2.6M | 6.5K | 2.8K |
| 2017 | $5.8K | $1.5K | 3.99x | $4.3K | $3.3M | 9.2K | 3.4K |
| 2018 | $3.5K | $498.97 | 6.96x | $3.0K | $2.9M | 8.2K | 3.2K |
| 2019 | $13.7K | $3.2K | 4.34x | $10.6K | $3.5M | 6.0K | 2.6K |
| 2020 | $10.3K | $2.8K | 3.70x | $7.5K | $3.3M | 4.6K | 2.0K |
| 2021 | $8.5K | $1.7K | 5.04x | $6.8K | $1.7M | 3.1K | 1.3K |
| 2022 | $12.7K | $2.1K | 5.94x | $10.6K | $1.5M | 2.8K | 1.3K |
| 2023 | $3.9K | $304.87 | 12.92x | $3.6K | $606.4K | 2.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36514 | Mechanical separation of plasma from opening blood | 9.1K | $5.0M | $548.20 | 7.00x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 4.5K | $3.1M | $670.75 | 7.48x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 8.5K | $2.7M | $321.31 | 9.17x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 119 | $2.4M | $20.3K | 2.67x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 459 | $1.7M | $3.8K | 6.10x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 2.4K | $1.6M | $659.14 | 7.67x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 4.7K | $1.5M | $316.02 | 9.29x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 5.5K | $1.4M | $261.65 | 6.91x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.3K | $1.4M | $319.12 | 8.53x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 37 | $551.7K | $14.9K | 3.13x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 89 | $356.9K | $4.0K | 5.84x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 27 | $304.4K | $11.3K | 7.41x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 814 | $272.6K | $334.85 | 9.28x |
| 62311 | Injections of substances into lower or sacral spine | 885 | $269.9K | $304.99 | 8.20x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 834 | $215.1K | $257.88 | 9.58x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 7.1K | $186.8K | $26.35 | 31.42x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 523 | $134.9K | $257.85 | 9.04x |
| 62310 | Injections of substances into upper or middle spine | 238 | $70.8K | $297.31 | 8.41x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 180 | $53.3K | $296.33 | 8.45x |
| 64421 | Injection of anesthetic agent of multiple rib nerves | 100 | $29.5K | $295.44 | 8.46x |
This provider submits charges 7.32 times higher than what Medicare actually pays.
A markup ratio of 7.32x means for every $100 Medicare pays, this provider initially charges $732. 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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