This provider's $4.0M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% in 2021
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 | $1.9K | $582.92 | 3.20x | $1.3K | $497.0K | 978 | 668 |
| 2015 | $1.8K | $577.51 | 3.10x | $1.2K | $478.3K | 893 | 639 |
| 2016 | $2.1K | $649.48 | 3.24x | $1.5K | $464.1K | 822 | 588 |
| 2017 | $2.1K | $686.22 | 3.07x | $1.4K | $474.7K | 853 | 609 |
| 2018 | $4.6K | $2.1K | 2.21x | $2.5K | $726.6K | 821 | 618 |
| 2019 | $2.8K | $940.35 | 2.95x | $1.8K | $348.4K | 624 | 464 |
| 2020 | $1.1K | $402.12 | 2.75x | $703.31 | $162.4K | 472 | 350 |
| 2021 | $4.5K | $1.3K | 3.52x | $3.2K | $303.9K | 494 | 378 |
| 2022 | $6.1K | $1.2K | 5.24x | $4.9K | $313.5K | 512 | 377 |
| 2023 | $5.7K | $815.70 | 6.98x | $4.9K | $279.6K | 561 | 425 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 1.3K | $1.1M | $863.75 | 2.78x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.4K | $627.1K | $266.62 | 5.77x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 569 | $377.7K | $663.71 | 4.61x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 34 | $276.2K | $8.1K | 3.69x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 990 | $271.1K | $273.81 | 6.83x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 104 | $234.0K | $2.2K | 2.50x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 11 | $224.7K | $20.4K | 1.77x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 46 | $186.8K | $4.1K | 2.23x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 422 | $115.1K | $272.85 | 3.92x |
| 64721 | Release and/or relocation of median nerve of hand | 154 | $103.4K | $671.16 | 4.35x |
| 23405 | Incision of shoulder tendon | 64 | $67.8K | $1.1K | 4.23x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 216 | $59.3K | $274.32 | 4.42x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 82 | $59.2K | $721.49 | 4.15x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 16 | $47.7K | $3.0K | 2.55x |
| 26055 | Incision of tendon covering | 88 | $46.4K | $527.66 | 3.24x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 173 | $45.9K | $265.41 | 4.19x |
| 29880 | Removal of both knee cartilages using an endoscope | 33 | $35.1K | $1.1K | 3.61x |
| 62310 | Injections of substances into upper or middle spine | 106 | $32.4K | $305.74 | 2.74x |
| 29881 | Removal of one knee cartilage using an endoscope | 27 | $30.0K | $1.1K | 3.33x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 38 | $23.9K | $630.00 | 12.37x |
This provider submits charges 3.89 times higher than what Medicare actually pays.
A markup ratio of 3.89x means for every $100 Medicare pays, this provider initially charges $389. 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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