This provider's $10.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 94% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 103% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $10.8K | $3.4K | 3.18x | $7.4K | $954.9K | 755 | 665 |
| 2019 | $11.6K | $3.7K | 3.11x | $7.9K | $1.9M | 1.5K | 1.2K |
| 2020 | $11.7K | $3.4K | 3.41x | $8.3K | $2.2M | 1.4K | 1.1K |
| 2021 | $11.0K | $3.3K | 3.34x | $7.7K | $1.7M | 1.5K | 1.3K |
| 2022 | $13.0K | $3.2K | 4.12x | $9.9K | $1.7M | 1.6K | 1.2K |
| 2023 | $16.9K | $3.5K | 4.88x | $13.4K | $1.9M | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 191 | $3.3M | $17.3K | 2.82x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 285 | $2.4M | $8.6K | 4.79x |
| 63655 | Implantation of spinal neurostimulator electrodes | 137 | $1.7M | $12.3K | 3.13x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 230 | $806.8K | $3.5K | 3.47x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.3K | $634.7K | $278.37 | 6.46x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.2K | $529.4K | $237.50 | 6.38x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 999 | $252.3K | $252.52 | 7.16x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 398 | $202.8K | $509.64 | 7.76x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 490 | $151.6K | $309.35 | 5.74x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 60 | $130.9K | $2.2K | 6.26x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 412 | $98.9K | $239.99 | 6.40x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 358 | $77.7K | $217.06 | 4.79x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 183 | $53.4K | $291.77 | 6.15x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 13 | $28.8K | $2.2K | 6.15x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 134 | $3.1K | $23.20 | 54.09x |
This provider submits charges 4.16 times higher than what Medicare actually pays.
A markup ratio of 4.16x means for every $100 Medicare pays, this provider initially charges $416. 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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