This provider's $16.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.75x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 105% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $7.6K | $1.2K | 6.35x | $6.4K | $958.3K | 1.4K | 1.2K |
| 2015 | $8.1K | $1.2K | 6.51x | $6.9K | $882.3K | 1.3K | 1.1K |
| 2016 | $10.3K | $1.3K | 7.96x | $9.0K | $757.9K | 1.3K | 1.0K |
| 2017 | $8.9K | $1.1K | 7.95x | $7.8K | $851.1K | 1.3K | 1.1K |
| 2018 | $14.1K | $2.3K | 6.13x | $11.8K | $1.7M | 1.4K | 1.2K |
| 2019 | $15.4K | $2.5K | 6.26x | $12.9K | $3.4M | 1.6K | 1.4K |
| 2020 | $17.1K | $3.0K | 5.72x | $14.1K | $1.7M | 850 | 767 |
| 2021 | $22.4K | $4.0K | 5.58x | $18.3K | $2.3M | 916 | 834 |
| 2022 | $22.5K | $3.9K | 5.75x | $18.6K | $2.4M | 1.0K | 922 |
| 2023 | $15.0K | $2.1K | 7.01x | $12.9K | $1.4M | 910 | 821 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 278 | $3.5M | $12.4K | 6.71x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 96 | $2.5M | $25.6K | 3.00x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.6K | $1.6M | $345.53 | 8.75x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 255 | $1.3M | $5.0K | 4.89x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 314 | $631.1K | $2.0K | 9.28x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 214 | $619.1K | $2.9K | 6.24x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 55 | $592.5K | $10.8K | 6.01x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 73 | $558.0K | $7.6K | 5.94x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 583 | $492.4K | $844.61 | 8.05x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 31 | $461.6K | $14.9K | 6.00x |
| 29880 | Removal of both knee cartilages using an endoscope | 236 | $315.3K | $1.3K | 6.53x |
| 27446 | Repair of knee joint | 34 | $286.0K | $8.4K | 6.10x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 675 | $227.0K | $336.29 | 12.04x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 271 | $221.2K | $816.41 | 20.77x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 63 | $213.5K | $3.4K | 4.76x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 226 | $191.6K | $847.92 | 6.28x |
| 50590 | Shock wave crushing of kidney stones | 114 | $186.6K | $1.6K | 7.67x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 497 | $184.7K | $371.56 | 8.02x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 432 | $176.3K | $408.18 | 6.84x |
| 37785 | Tying incision and/or removal of varicose vein clusters of leg | 148 | $166.1K | $1.1K | 7.02x |
This provider submits charges 6.75 times higher than what Medicare actually pays.
A markup ratio of 6.75x means for every $100 Medicare pays, this provider initially charges $675. 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 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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