This provider's $8.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2728% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1002% 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 | $1.1K | $386.32 | 2.76x | $680.35 | $39.7K | 103 | 83 |
| 2015 | $1.1K | $378.78 | 2.82x | $687.89 | $30.3K | 80 | 68 |
| 2016 | $3.8K | $2.4K | 1.59x | $1.4K | $334.0K | 121 | 100 |
| 2017 | $4.8K | $3.4K | 1.38x | $1.3K | $1.0M | 270 | 204 |
| 2018 | $8.7K | $5.6K | 1.56x | $3.1K | $2.1M | 322 | 264 |
| 2019 | $5.5K | $3.1K | 1.77x | $2.4K | $1.2M | 430 | 371 |
| 2020 | $6.4K | $4.0K | 1.58x | $2.3K | $960.2K | 199 | 176 |
| 2021 | $8.1K | $5.6K | 1.45x | $2.5K | $634.1K | 107 | 96 |
| 2022 | $12.0K | $7.4K | 1.63x | $4.6K | $1.0M | 138 | 126 |
| 2023 | $15.1K | $9.2K | 1.65x | $6.0K | $1.1M | 127 | 121 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 351 | $4.6M | $13.0K | 1.43x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 194 | $1.5M | $7.7K | 1.46x |
| 22554 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 125 | $979.2K | $7.8K | 1.42x |
| 22867 | Insertion of stabilizing or separating device into lower spine at single level with open decompression | 37 | $457.7K | $12.4K | 1.28x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 193 | $330.3K | $1.7K | 3.24x |
| 63020 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in upper spine | 83 | $135.0K | $1.6K | 3.56x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 363 | $134.7K | $370.96 | 2.97x |
| 20902 | Bone graft harvest | 80 | $94.1K | $1.2K | 2.55x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 215 | $83.0K | $386.09 | 2.81x |
| 27050 | Biopsy of sacroiliac joint | 58 | $42.0K | $723.65 | 1.38x |
| 20900 | Small bone graft harvest | 32 | $37.6K | $1.2K | 2.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 109 | $34.5K | $316.56 | 1.91x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 57 | $23.9K | $419.87 | 2.38x |
This provider submits charges 1.59 times higher than what Medicare actually pays.
A markup ratio of 1.59x means for every $100 Medicare pays, this provider initially charges $159. This is lower 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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