This provider's $11.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.88x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 81% from 2014 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $7.7K | $655.09 | 11.73x | $7.0K | $692.4K | 931 | 681 |
| 2015 | $7.3K | $586.17 | 12.51x | $6.7K | $696.8K | 971 | 715 |
| 2016 | $9.2K | $1.5K | 5.94x | $7.6K | $1.0M | 1.2K | 889 |
| 2017 | $9.0K | $1.5K | 6.18x | $7.5K | $1.1M | 1.3K | 932 |
| 2018 | $8.7K | $1.6K | 5.56x | $7.2K | $1.4M | 1.4K | 1.1K |
| 2019 | $9.9K | $2.0K | 4.96x | $7.9K | $1.6M | 1.9K | 1.4K |
| 2020 | $8.0K | $1.2K | 6.88x | $6.8K | $1.1M | 1.6K | 1.2K |
| 2021 | $7.6K | $676.40 | 11.18x | $6.9K | $1.1M | 1.7K | 1.1K |
| 2022 | $7.7K | $729.45 | 10.62x | $7.0K | $1.1M | 1.8K | 1.2K |
| 2023 | $8.3K | $804.75 | 10.34x | $7.5K | $1.3M | 1.8K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.6K | $5.8M | $881.09 | 14.63x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 56 | $952.7K | $17.0K | 2.28x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $893.2K | $301.15 | 11.94x |
| 66982 | Removal of cataract with insertion of lens | 721 | $622.3K | $863.08 | 15.02x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 114 | $451.7K | $4.0K | 2.68x |
| 0191T | Internal insertion of eye fluid drainage device | 132 | $289.4K | $2.2K | 6.16x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 815 | $228.1K | $279.86 | 11.67x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 16 | $179.7K | $11.2K | 2.16x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 304 | $178.5K | $587.02 | 10.27x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 135 | $175.9K | $1.3K | 10.64x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 24 | $142.4K | $5.9K | 3.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 482 | $136.4K | $282.94 | 14.79x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 237 | $125.4K | $529.01 | 18.95x |
| 64721 | Release and/or relocation of median nerve of hand | 152 | $99.0K | $650.99 | 11.30x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 334 | $75.6K | $226.38 | 8.91x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 19 | $55.5K | $2.9K | 4.98x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 100 | $54.2K | $541.78 | 10.87x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 232 | $51.1K | $220.27 | 15.95x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 131 | $49.3K | $376.20 | 3.65x |
| 67904 | Repair of tendon of upper eyelid | 88 | $48.2K | $548.29 | 11.52x |
This provider submits charges 11.88 times higher than what Medicare actually pays.
A markup ratio of 11.88x means for every $100 Medicare pays, this provider initially charges $1188. 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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