This provider's $17.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 217% 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 | $3.7K | $683.99 | 5.37x | $3.0K | $1.1M | 1.6K | 22 |
| 2015 | $3.7K | $782.38 | 4.74x | $2.9K | $1.1M | 1.4K | 19 |
| 2016 | $3.7K | $705.62 | 5.21x | $3.0K | $1.1M | 1.5K | 20 |
| 2017 | $2.3K | $488.74 | 4.80x | $1.9K | $1.3M | 2.7K | 23 |
| 2018 | $1.2K | $265.44 | 4.53x | $938.05 | $1.5M | 5.7K | 29 |
| 2019 | $1.3K | $279.24 | 4.71x | $1.0K | $1.9M | 6.7K | 26 |
| 2020 | $778.21 | $170.76 | 4.56x | $607.45 | $1.6M | 9.4K | 22 |
| 2021 | $287.75 | $63.57 | 4.53x | $224.18 | $1.9M | 30.2K | 22 |
| 2022 | $378.11 | $82.01 | 4.61x | $296.10 | $2.5M | 30.6K | 25 |
| 2023 | $421.68 | $99.72 | 4.23x | $321.96 | $3.4M | 34.5K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 6.1K | $2.2M | $363.91 | 5.45x |
| 27447 | Replacement of knee joint, both sides of knee | 158 | $1.6M | $10.1K | 4.35x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 465 | $1.1M | $2.5K | 4.78x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 271 | $1.1M | $4.1K | 3.89x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 126 | $764.0K | $6.1K | 2.96x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 133 | $675.1K | $5.1K | 2.83x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 883 | $647.8K | $733.60 | 4.22x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.7K | $595.1K | $351.70 | 5.31x |
| C2643 | Brachytherapy source, non-stranded, cesium-131, per source | 7.9K | $518.4K | $65.52 | 3.25x |
| 29848 | Release of wrist ligament using an endoscope | 608 | $472.8K | $777.61 | 7.96x |
| 50590 | Shock wave crushing of kidney stones | 274 | $452.2K | $1.7K | 5.33x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 149 | $444.6K | $3.0K | 2.26x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 42 | $432.8K | $10.3K | 4.31x |
| 29880 | Removal of both knee cartilages using an endoscope | 292 | $397.6K | $1.4K | 4.63x |
| 55700 | Biopsy of prostate gland | 438 | $384.7K | $878.21 | 3.95x |
| 29881 | Removal of knee cartilage using an endoscope | 276 | $378.2K | $1.4K | 4.59x |
| 25608 | Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 77 | $342.1K | $4.4K | 3.69x |
| 55875 | Insertion of needle or tube into prostate for radiation therapy | 152 | $322.5K | $2.1K | 4.70x |
| 49650 | Repair of groin hernia using an endoscope | 134 | $295.5K | $2.2K | 4.11x |
| 64721 | Release and/or relocation of hand nerve | 327 | $258.5K | $790.63 | 4.53x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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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