This provider's $10.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.4x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% in 2023
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 | $6.6K | $2.1K | 3.15x | $4.5K | $1.1M | 1.7K | 1.2K |
| 2015 | $4.5K | $1.0K | 4.35x | $3.5K | $918.2K | 1.8K | 1.3K |
| 2016 | $5.8K | $2.0K | 2.89x | $3.8K | $1.6M | 2.1K | 1.4K |
| 2017 | $6.1K | $2.2K | 2.77x | $3.9K | $1.4M | 2.1K | 1.4K |
| 2018 | $7.0K | $2.8K | 2.53x | $4.2K | $1.3M | 2.1K | 1.4K |
| 2019 | $5.0K | $1.3K | 3.72x | $3.6K | $956.4K | 1.8K | 1.2K |
| 2020 | $8.8K | $2.7K | 3.21x | $6.0K | $840.5K | 1.5K | 1.0K |
| 2021 | $4.3K | $915.15 | 4.70x | $3.4K | $623.1K | 1.7K | 1.2K |
| 2022 | $2.8K | $264.22 | 10.77x | $2.6K | $470.3K | 1.7K | 1.2K |
| 2023 | $8.2K | $2.3K | 3.52x | $5.9K | $969.4K | 1.7K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 107 | $2.2M | $20.2K | 1.80x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 120 | $1.4M | $11.5K | 2.18x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 244 | $963.5K | $3.9K | 1.83x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.8K | $818.3K | $287.42 | 10.44x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.6K | $778.1K | $295.30 | 9.54x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $723.4K | $301.31 | 9.96x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 55 | $607.4K | $11.0K | 2.26x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 962 | $578.2K | $601.08 | 8.32x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.7K | $430.6K | $247.60 | 12.10x |
| 62311 | Injections of substances into lower or sacral spine | 1.3K | $404.5K | $312.86 | 9.62x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $314.0K | $283.16 | 10.59x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 857 | $270.9K | $316.13 | 9.51x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 325 | $208.7K | $642.23 | 7.79x |
| 62310 | Injections of substances into upper or middle spine | 603 | $187.0K | $310.14 | 9.67x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 93 | $89.6K | $963.32 | 3.63x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 12 | $56.3K | $4.7K | 5.97x |
| 62264 | Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day | 121 | $38.7K | $319.48 | 15.65x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.3K | $33.9K | $25.28 | 118.57x |
| 61070 | Aspiration or injection of cerebrospinal fluid shunt tubing or reservoir | 97 | $24.0K | $247.87 | 10.09x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 130 | $21.0K | $161.80 | 18.54x |
This provider submits charges 6.4 times higher than what Medicare actually pays.
A markup ratio of 6.4x means for every $100 Medicare pays, this provider initially charges $640. 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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