This provider's $37.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 171% from 2014 to 2023.
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 | $1.8K | $426.87 | 4.19x | $1.4K | $2.0M | 4.7K | 30 |
| 2015 | $1.9K | $441.72 | 4.31x | $1.5K | $2.3M | 5.2K | 28 |
| 2016 | $2.1K | $585.31 | 3.60x | $1.5K | $3.2M | 5.5K | 34 |
| 2017 | $2.2K | $547.80 | 3.96x | $1.6K | $3.0M | 5.6K | 31 |
| 2018 | $2.4K | $646.63 | 3.77x | $1.8K | $3.9M | 6.0K | 34 |
| 2019 | $2.5K | $701.86 | 3.58x | $1.8K | $3.9M | 5.6K | 35 |
| 2020 | $2.6K | $715.64 | 3.60x | $1.9K | $3.8M | 5.3K | 32 |
| 2021 | $2.6K | $758.29 | 3.44x | $1.9K | $4.6M | 6.1K | 36 |
| 2022 | $1.2K | $369.52 | 3.36x | $870.37 | $5.2M | 14.0K | 37 |
| 2023 | $1.6K | $457.56 | 3.43x | $1.1K | $5.4M | 11.8K | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 393 | $6.9M | $17.5K | 1.78x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 10.9K | $4.2M | $384.07 | 4.83x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.1K | $3.7M | $3.4K | 1.79x |
| 22869 | Placement of stabilizing device to lower spine level | 231 | $2.0M | $8.8K | 1.71x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 3.0K | $1.6M | $521.99 | 4.18x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 110 | $1.4M | $13.2K | 1.71x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 5.4K | $1.4M | $263.38 | 7.03x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 4.6K | $1.2M | $257.64 | 5.77x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 5.0K | $1.1M | $225.60 | 8.20x |
| 49650 | Repair of groin hernia using an endoscope | 676 | $1.0M | $1.5K | 3.69x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 4.2K | $1.0M | $239.48 | 6.24x |
| 27279 | Fusion of pelvic joint using imaging guidance | 82 | $898.6K | $11.0K | 1.66x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 150 | $798.6K | $5.3K | 2.00x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 1.3K | $794.6K | $591.65 | 3.60x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.9K | $678.1K | $364.18 | 5.07x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 2.5K | $616.0K | $249.48 | 5.99x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.7K | $604.5K | $361.99 | 5.09x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 78 | $589.9K | $7.6K | 2.40x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.2K | $422.1K | $195.50 | 7.43x |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 780 | $388.7K | $498.33 | 3.72x |
This provider submits charges 3.64 times higher than what Medicare actually pays.
A markup ratio of 3.64x means for every $100 Medicare pays, this provider initially charges $364. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ 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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