This provider's $21.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% in 2016
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 | $2.7K | $771.94 | 3.47x | $1.9K | $1.6M | 3.5K | 2.8K |
| 2015 | $2.6K | $738.12 | 3.46x | $1.8K | $1.1M | 2.8K | 2.2K |
| 2016 | $4.3K | $1.3K | 3.20x | $2.9K | $2.1M | 3.9K | 3.0K |
| 2017 | $4.5K | $1.5K | 2.91x | $2.9K | $2.9M | 3.6K | 2.9K |
| 2018 | $4.3K | $1.4K | 2.99x | $2.9K | $3.1M | 4.3K | 3.6K |
| 2019 | $4.2K | $1.4K | 2.98x | $2.8K | $2.8M | 3.7K | 3.0K |
| 2020 | $6.3K | $2.0K | 3.17x | $4.3K | $2.8M | 2.3K | 1.9K |
| 2021 | $6.8K | $2.2K | 3.10x | $4.6K | $3.5M | 2.5K | 2.0K |
| 2022 | $5.3K | $1.3K | 4.19x | $4.0K | $853.8K | 707 | 684 |
| 2023 | $6.2K | $1.2K | 5.16x | $5.0K | $486.6K | 421 | 401 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 246 | $3.2M | $13.1K | 2.68x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 139 | $2.4M | $17.0K | 2.68x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 718 | $1.0M | $1.4K | 3.20x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 548 | $997.0K | $1.8K | 3.68x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.4K | $971.8K | $220.41 | 7.38x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 651 | $906.1K | $1.4K | 3.39x |
| 62311 | Injections of substances into lower or sacral spine | 3.5K | $899.9K | $255.14 | 5.84x |
| 27447 | Repair of knee joint | 116 | $797.5K | $6.9K | 3.17x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 233 | $796.9K | $3.4K | 2.65x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.3K | $692.7K | $517.33 | 3.66x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 179 | $664.5K | $3.7K | 2.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.8K | $662.1K | $232.49 | 5.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.9K | $476.4K | $245.06 | 5.50x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 432 | $404.8K | $937.12 | 3.44x |
| 29881 | Removal of one knee cartilage using an endoscope | 401 | $385.6K | $961.68 | 3.67x |
| 64721 | Release and/or relocation of median nerve of hand | 646 | $377.2K | $583.87 | 3.57x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 340 | $270.7K | $796.31 | 4.04x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 488 | $264.2K | $541.34 | 3.36x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 131 | $263.3K | $2.0K | 2.20x |
| 66984 | Removal of cataract with insertion of lens | 350 | $250.0K | $714.36 | 3.65x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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 |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | ✓ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data