This provider's $6.8M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.08x 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 | $3.3K | $789.37 | 4.19x | $2.5K | $563.5K | 1.4K | 596 |
| 2015 | $3.4K | $789.83 | 4.29x | $2.6K | $668.5K | 1.8K | 729 |
| 2016 | $2.6K | $286.21 | 9.18x | $2.3K | $551.4K | 1.6K | 871 |
| 2017 | $2.7K | $263.99 | 10.08x | $2.4K | $594.4K | 1.7K | 978 |
| 2018 | $2.7K | $271.52 | 10.08x | $2.5K | $715.9K | 2.0K | 1.1K |
| 2019 | $2.7K | $284.26 | 9.44x | $2.4K | $772.5K | 2.0K | 1.1K |
| 2020 | $3.0K | $560.33 | 5.27x | $2.4K | $744.7K | 1.8K | 1.0K |
| 2021 | $3.1K | $337.17 | 9.20x | $2.8K | $754.7K | 1.9K | 1.1K |
| 2022 | $3.7K | $811.95 | 4.52x | $2.9K | $869.5K | 1.6K | 1.1K |
| 2023 | $3.7K | $860.45 | 4.26x | $2.8K | $557.8K | 730 | 559 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.5K | $2.2M | $636.44 | 6.67x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.8K | $1.7M | $299.77 | 7.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.6K | $806.4K | $315.13 | 7.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 800 | $510.3K | $637.87 | 6.17x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.5K | $445.3K | $301.72 | 7.86x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 115 | $408.0K | $3.5K | 1.69x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 799 | $250.8K | $313.89 | 7.59x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 70 | $229.8K | $3.3K | 2.13x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 357 | $88.4K | $247.56 | 15.20x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 123 | $33.4K | $271.16 | 10.64x |
| 64640 | Destruction of peripheral nerve or branch | 358 | $31.4K | $87.83 | 15.66x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 355 | $12.3K | $34.63 | 41.48x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 295 | $6.8K | $23.02 | 134.83x |
| 64530 | Injection of anesthetic agent, abdominal sympathetic nerve bundle | 24 | $6.6K | $273.30 | 12.53x |
This provider submits charges 7.08 times higher than what Medicare actually pays.
A markup ratio of 7.08x means for every $100 Medicare pays, this provider initially charges $708. 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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