This provider's $33.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 229% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2017
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 | $2.5K | $395.53 | 6.27x | $2.1K | $1.6M | 4.0K | 23 |
| 2015 | $2.5K | $418.98 | 5.93x | $2.1K | $1.8M | 4.4K | 27 |
| 2016 | $2.5K | $431.95 | 5.72x | $2.0K | $2.0M | 4.6K | 27 |
| 2017 | $3.2K | $638.15 | 4.97x | $2.5K | $3.0M | 4.7K | 26 |
| 2018 | $3.5K | $732.03 | 4.84x | $2.8K | $3.6M | 5.0K | 30 |
| 2019 | $3.9K | $798.27 | 4.87x | $3.1K | $3.9M | 4.9K | 28 |
| 2020 | $4.1K | $1.0K | 4.10x | $3.1K | $4.0M | 3.9K | 29 |
| 2021 | $4.3K | $909.50 | 4.75x | $3.4K | $4.2M | 4.7K | 28 |
| 2022 | $2.5K | $548.83 | 4.54x | $1.9K | $4.2M | 7.6K | 28 |
| 2023 | $5.4K | $1.2K | 4.44x | $4.2K | $5.2M | 4.2K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 69930 | Insertion of cochlear device | 154 | $4.9M | $31.7K | 3.04x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 166 | $4.1M | $24.4K | 3.61x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 8.0K | $2.4M | $301.86 | 5.97x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 7.3K | $2.3M | $312.99 | 5.21x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 454 | $2.2M | $4.8K | 4.61x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 5.1K | $2.0M | $401.52 | 5.68x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 1.9K | $1.9M | $1.0K | 5.52x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 3.4K | $1.7M | $502.00 | 5.77x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.2K | $1.5M | $675.18 | 4.52x |
| 22869 | Placement of stabilizing device to lower spine level | 108 | $1.2M | $11.2K | 3.77x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 3.2K | $1.0M | $319.70 | 6.53x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.3K | $799.6K | $620.84 | 5.85x |
| 63655 | Implantation of spinal neurostimulator electrodes | 38 | $581.8K | $15.3K | 4.47x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.0K | $518.4K | $259.20 | 11.50x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.0K | $506.6K | $490.85 | 5.01x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 88 | $487.9K | $5.5K | 4.51x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.3K | $433.9K | $333.73 | 5.41x |
| 49650 | Repair of groin hernia using an endoscope | 215 | $390.5K | $1.8K | 4.98x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 727 | $348.8K | $479.81 | 5.12x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 441 | $337.6K | $765.53 | 4.61x |
This provider submits charges 4.83 times higher than what Medicare actually pays.
A markup ratio of 4.83x means for every $100 Medicare pays, this provider initially charges $483. 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 |
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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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