This provider's $12.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.6x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 78% from 2019 to 2023.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $3.1K | $504.35 | 6.17x | $2.6K | $1.7M | 3.3K | 13 |
| 2020 | $3.2K | $502.98 | 6.42x | $2.7K | $1.9M | 3.8K | 16 |
| 2021 | $2.6K | $379.49 | 6.83x | $2.2K | $2.7M | 7.1K | 19 |
| 2022 | $2.5K | $379.30 | 6.68x | $2.2K | $2.8M | 7.4K | 19 |
| 2023 | $1.6K | $237.02 | 6.68x | $1.3K | $3.0M | 12.5K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 6.2K | $6.0M | $966.88 | 7.57x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 259 | $820.3K | $3.2K | 3.87x |
| 0191T | Internal insertion of eye fluid drainage device | 306 | $812.2K | $2.7K | 5.70x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 88 | $590.3K | $6.7K | 4.51x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 49 | $439.3K | $9.0K | 5.19x |
| 66174 | Dilation of fluid outflow drainage within eye | 290 | $404.3K | $1.4K | 8.37x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.7K | $395.1K | $83.21 | 1.47x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.5K | $362.0K | $102.21 | 1.73x |
| V2785 | Processing, preserving and transporting corneal tissue | 101 | $348.4K | $3.4K | 6.31x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 120 | $342.7K | $2.9K | 6.85x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 624 | $220.4K | $353.13 | 1.42x |
| 27447 | Replacement of knee joint, both sides of knee | 24 | $213.7K | $8.9K | 7.35x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 338 | $173.9K | $514.38 | 8.13x |
| 65756 | Transplantation of outer layer of corneal tissue | 71 | $131.0K | $1.8K | 5.91x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 294 | $125.6K | $427.31 | 9.71x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 309 | $104.8K | $339.21 | 13.31x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 38 | $92.2K | $2.4K | 7.51x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 84 | $85.1K | $1.0K | 6.51x |
| 65820 | Incision to improve eye fluid flow | 36 | $62.0K | $1.7K | 4.67x |
| 67311 | Realignment of horizontal eye muscle | 92 | $54.9K | $596.68 | 18.35x |
This provider submits charges 6.6 times higher than what Medicare actually pays.
A markup ratio of 6.6x means for every $100 Medicare pays, this provider initially charges $660. 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 |
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