This provider's $6.2M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.18x is significantly above the specialty median of 6.1x.
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 | $3.2K | $317.23 | 10.09x | $2.9K | $583.0K | 2.1K | 1.2K |
| 2015 | $2.1K | $315.53 | 6.57x | $1.8K | $625.0K | 2.1K | 1.2K |
| 2016 | $1.6K | $306.89 | 5.21x | $1.3K | $619.1K | 2.1K | 1.2K |
| 2017 | $1.6K | $309.37 | 5.17x | $1.3K | $575.8K | 2.1K | 1.2K |
| 2018 | $1.6K | $314.83 | 5.08x | $1.3K | $619.9K | 2.3K | 1.3K |
| 2019 | $1.6K | $325.17 | 4.92x | $1.3K | $690.5K | 2.4K | 1.3K |
| 2020 | $1.6K | $328.65 | 4.87x | $1.3K | $530.7K | 1.8K | 1.1K |
| 2021 | $1.7K | $307.73 | 5.61x | $1.4K | $641.3K | 2.1K | 1.3K |
| 2022 | $2.3K | $613.72 | 3.70x | $1.7K | $665.6K | 2.1K | 1.3K |
| 2023 | $2.2K | $635.75 | 3.54x | $1.6K | $666.6K | 2.0K | 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 | 12.4K | $3.4M | $271.61 | 6.67x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.2K | $721.4K | $577.57 | 3.22x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.9K | $506.5K | $266.17 | 6.64x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 475 | $279.9K | $589.28 | 3.01x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 995 | $273.5K | $274.84 | 6.39x |
| 62311 | Injections of substances into lower or sacral spine | 834 | $235.6K | $282.55 | 8.55x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 863 | $208.4K | $241.47 | 6.63x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 804 | $190.2K | $236.54 | 6.76x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 745 | $159.8K | $214.51 | 8.10x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 26 | $97.7K | $3.8K | 1.96x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 330 | $89.8K | $272.13 | 5.88x |
| 62310 | Injections of substances into upper or middle spine | 268 | $75.0K | $279.92 | 8.15x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 63 | $7.7K | $122.19 | 19.64x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 83 | $1.6K | $19.13 | 128.80x |
This provider submits charges 6.18 times higher than what Medicare actually pays.
A markup ratio of 6.18x means for every $100 Medicare pays, this provider initially charges $618. This is higher than the national average.
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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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