This provider's $32.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 3336% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 910% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.2K | $466.55 | 2.65x | $767.71 | $154.4K | 331 | 7 |
| 2015 | $1.6K | $692.44 | 2.36x | $941.98 | $1.6M | 2.3K | 16 |
| 2016 | $1.6K | $670.16 | 2.36x | $912.42 | $2.2M | 3.3K | 18 |
| 2017 | $2.1K | $1.1K | 1.95x | $1.0K | $2.6M | 2.4K | 18 |
| 2018 | $3.3K | $1.5K | 2.26x | $1.8K | $3.5M | 2.4K | 19 |
| 2019 | $5.3K | $2.1K | 2.47x | $3.2K | $5.0M | 2.3K | 19 |
| 2020 | $4.4K | $1.9K | 2.25x | $2.4K | $3.5M | 1.8K | 17 |
| 2021 | $4.2K | $1.9K | 2.19x | $2.3K | $4.5M | 2.4K | 22 |
| 2022 | $4.0K | $1.8K | 2.21x | $2.2K | $3.9M | 2.2K | 23 |
| 2023 | $4.6K | $2.0K | 2.35x | $2.6K | $5.3M | 2.7K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 525 | $10.0M | $19.1K | 1.94x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 2.4K | $9.0M | $3.7K | 2.15x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 574 | $6.3M | $11.0K | 2.09x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 4.9K | $1.2M | $253.09 | 3.65x |
| 62350 | Insertion, revision, or repositioning of spinal canal tube for medication administration | 672 | $1.0M | $1.6K | 2.70x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.1K | $656.4K | $573.77 | 1.71x |
| 22612 | Fusion of spine in lower back | 67 | $617.3K | $9.2K | 2.02x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 2.2K | $579.9K | $265.40 | 3.49x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 646 | $372.0K | $575.78 | 1.78x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.1K | $290.6K | $268.37 | 3.44x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.1K | $277.5K | $247.96 | 3.73x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 1.1K | $269.2K | $247.41 | 3.73x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.2K | $247.9K | $211.56 | 4.37x |
| 61070 | Aspiration of cerebrospinal fluid and injection in shunt tubing or reservoir | 634 | $146.1K | $230.45 | 4.01x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 18 | $144.7K | $8.0K | 2.16x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 38 | $139.0K | $3.7K | 1.99x |
| 63663 | Revision of spinal neurostimulator electrode array using fluoroscopic guidance | 38 | $132.7K | $3.5K | 2.23x |
| 62311 | Injections of substances into lower or sacral spine | 441 | $124.2K | $281.63 | 3.28x |
| 62310 | Injections of substances into upper or middle spine | 434 | $121.2K | $279.22 | 3.31x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 76 | $106.2K | $1.4K | 1.55x |
This provider submits charges 2.28 times higher than what Medicare actually pays.
A markup ratio of 2.28x means for every $100 Medicare pays, this provider initially charges $228. 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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