This provider's $12.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 302% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 176% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $4.6K | $1.7K | 2.74x | $2.9K | $460.7K | 605 | 466 |
| 2015 | $6.1K | $2.6K | 2.33x | $3.5K | $1.3M | 1.2K | 887 |
| 2016 | $5.3K | $2.1K | 2.59x | $3.3K | $937.6K | 901 | 708 |
| 2017 | $5.3K | $2.1K | 2.50x | $3.2K | $1.3M | 960 | 707 |
| 2018 | $5.4K | $2.1K | 2.55x | $3.3K | $1.7M | 1.0K | 768 |
| 2019 | $8.4K | $3.2K | 2.66x | $5.3K | $1.3M | 464 | 372 |
| 2020 | $17.2K | $7.2K | 2.40x | $10.0K | $1.6M | 242 | 217 |
| 2021 | $16.8K | $4.2K | 3.96x | $12.6K | $1.2M | 260 | 248 |
| 2022 | $21.2K | $5.4K | 3.92x | $15.8K | $1.1M | 228 | 222 |
| 2023 | $20.3K | $6.7K | 3.03x | $13.6K | $1.9M | 297 | 272 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 224 | $4.2M | $18.6K | 1.61x |
| 22867 | Insertion of stabilizing or separating device into lower spine at single level with open decompression | 169 | $1.9M | $11.5K | 3.30x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 377 | $1.4M | $3.7K | 2.43x |
| 22856 | Insertion of artificial upper spine disc, anterior approach | 85 | $939.4K | $11.1K | 2.18x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 360 | $695.9K | $1.9K | 5.93x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 60 | $591.8K | $9.9K | 3.48x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 57 | $447.9K | $7.9K | 2.38x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, complex | 83 | $411.2K | $5.0K | 6.90x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 705 | $391.7K | $555.67 | 4.00x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 23 | $258.1K | $11.2K | 1.95x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 351 | $222.2K | $633.17 | 3.52x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 810 | $212.3K | $262.10 | 8.49x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 788 | $195.6K | $248.23 | 8.93x |
| 63056 | Release of lower spinal cord and/or nerves | 86 | $177.4K | $2.1K | 5.80x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 464 | $138.0K | $297.35 | 7.46x |
| 62311 | Injections of substances into lower or sacral spine | 287 | $84.5K | $294.29 | 7.91x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 324 | $75.0K | $231.46 | 4.41x |
| 63042 | Re-exploration of spine repair with release of lower spinal cord or nerves, single interspace | 42 | $66.2K | $1.6K | 7.09x |
| 62310 | Injections of substances into upper or middle spine | 186 | $55.6K | $298.97 | 7.75x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 145 | $34.7K | $239.50 | 4.76x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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