This provider's $4.8M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 20.05x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 251% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 301% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $1.8K | $325.20 | 5.59x | $1.5K | $134.2K | 510 | 335 |
| 2016 | $2.2K | $576.45 | 3.74x | $1.6K | $538.7K | 2.2K | 1.0K |
| 2017 | $2.0K | $495.50 | 3.98x | $1.5K | $581.4K | 2.5K | 1.1K |
| 2018 | $10.7K | $3.4K | 3.17x | $7.3K | $1.7M | 2.9K | 1.5K |
| 2019 | $15.0K | $2.5K | 6.10x | $12.5K | $952.3K | 2.6K | 1.4K |
| 2020 | $5.1K | $949.90 | 5.37x | $4.1K | $476.4K | 1.7K | 947 |
| 2023 | $19.0K | $579.82 | 32.74x | $18.4K | $470.7K | 2.2K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.5K | $1.1M | $243.87 | 20.51x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 38 | $776.2K | $20.4K | 1.80x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $592.3K | $262.09 | 31.36x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 145 | $579.8K | $4.0K | 2.35x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 535 | $354.8K | $663.20 | 22.32x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.4K | $346.8K | $246.83 | 23.39x |
| 63655 | Implantation of spinal neurostimulator electrodes | 23 | $308.2K | $13.4K | 1.49x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 950 | $252.5K | $265.83 | 36.16x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 34 | $160.0K | $4.7K | 3.56x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 198 | $127.0K | $641.35 | 23.36x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 520 | $73.3K | $140.89 | 61.17x |
| 62311 | Injections of substances into lower or sacral spine | 217 | $36.6K | $168.60 | 9.40x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 132 | $29.1K | $220.61 | 78.67x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.4K | $22.4K | $15.94 | 214.62x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.2K | $20.3K | $16.99 | 219.93x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 23 | $17.9K | $777.20 | 45.03x |
| 20552 | Injection of trigger points, 1-2 muscles | 513 | $6.9K | $13.36 | 747.56x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 22 | $3.1K | $142.55 | 212.05x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 399 | $3.1K | $7.86 | 30.00x |
| 64640 | Destruction of peripheral nerve or branch | 20 | $1.1K | $53.97 | 14.24x |
This provider submits charges 20.05 times higher than what Medicare actually pays.
A markup ratio of 20.05x means for every $100 Medicare pays, this provider initially charges $2005. 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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