This provider's $4.2M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 16.48x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 352% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 233% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $15.1K | $510.94 | 29.56x | $14.6K | $360.4K | 996 | 696 |
| 2021 | $32.3K | $3.4K | 9.44x | $28.9K | $1.2M | 1.1K | 788 |
| 2022 | $33.0K | $2.5K | 13.37x | $30.5K | $1.0M | 1.0K | 767 |
| 2023 | $33.5K | $3.2K | 10.53x | $30.3K | $1.6M | 1.0K | 867 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 88 | $723.6K | $8.2K | 12.14x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 27 | $602.0K | $22.3K | 2.55x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 100 | $407.4K | $4.1K | 19.73x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 44 | $365.5K | $8.3K | 12.01x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 28 | $350.5K | $12.5K | 5.65x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.2K | $343.9K | $288.74 | 28.40x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 927 | $312.6K | $337.21 | 24.32x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 65 | $280.1K | $4.3K | 11.83x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 629 | $182.2K | $289.71 | 28.29x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 12 | $113.7K | $9.5K | 6.31x |
| 26123 | Removal of tissue of palm | 129 | $106.7K | $827.24 | 30.05x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 92 | $90.7K | $986.34 | 26.20x |
| 26496 | Transplant of tendon thumb, palm, or wrist | 60 | $69.9K | $1.2K | 21.90x |
| 64721 | Release and/or relocation of median nerve of hand | 79 | $42.2K | $533.82 | 28.57x |
| 43250 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using a flexible endoscope with electrical cautery | 47 | $31.2K | $664.48 | 43.50x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 95 | $27.5K | $289.33 | 21.83x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 79 | $23.3K | $295.56 | 26.71x |
| 25115 | Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon | 62 | $20.7K | $333.93 | 42.70x |
| 25312 | Relocation of tendon of forearm and/or wrist with grafts | 25 | $16.4K | $654.79 | 33.16x |
| 15733 | Creation of flap graft to head and/or neck | 15 | $14.6K | $970.89 | 25.81x |
This provider submits charges 16.48 times higher than what Medicare actually pays.
A markup ratio of 16.48x means for every $100 Medicare pays, this provider initially charges $1648. 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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