This provider's $3.4M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.91x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $1.9K | $221.83 | 8.72x | $1.7K | $409.6K | 1.6K | 923 |
| 2015 | $1.8K | $196.23 | 9.38x | $1.6K | $436.3K | 1.7K | 954 |
| 2016 | $1.9K | $192.94 | 10.03x | $1.7K | $440.5K | 2.0K | 1.1K |
| 2017 | $3.1K | $518.35 | 6.05x | $2.6K | $336.9K | 1.7K | 976 |
| 2018 | $2.0K | $164.92 | 12.02x | $1.8K | $305.6K | 1.6K | 969 |
| 2019 | $2.8K | $458.78 | 6.18x | $2.4K | $336.4K | 1.5K | 907 |
| 2020 | $2.2K | $217.86 | 10.01x | $2.0K | $279.1K | 1.3K | 798 |
| 2021 | $2.2K | $202.22 | 10.75x | $2.0K | $289.8K | 1.4K | 847 |
| 2022 | $2.4K | $269.38 | 8.92x | $2.1K | $282.2K | 1.2K | 887 |
| 2023 | $2.4K | $266.76 | 9.00x | $2.1K | $279.6K | 1.2K | 804 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 6.4K | $1.5M | $226.09 | 10.56x |
| 62311 | Injections of substances into lower or sacral spine | 3.6K | $958.7K | $267.43 | 8.11x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.2K | $278.0K | $226.40 | 10.55x |
| 62310 | Injections of substances into upper or middle spine | 653 | $171.3K | $262.37 | 8.30x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 646 | $136.7K | $211.58 | 11.13x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 544 | $132.2K | $243.04 | 9.56x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 333 | $82.7K | $248.47 | 9.22x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 251 | $69.2K | $275.60 | 7.96x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 24 | $66.4K | $2.8K | 3.54x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.4K | $27.3K | $19.01 | 60.91x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 29 | $16.4K | $565.24 | 7.01x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 76 | $1.1K | $15.03 | 34.96x |
This provider submits charges 9.91 times higher than what Medicare actually pays.
A markup ratio of 9.91x means for every $100 Medicare pays, this provider initially charges $991. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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