This provider's $10.9M in total Medicare payments ranks in the 97th 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.
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 | $1.3K | $363.41 | 3.48x | $902.75 | $888.0K | 3.0K | 2.0K |
| 2015 | $1.6K | $354.82 | 4.40x | $1.2K | $928.4K | 3.2K | 2.2K |
| 2016 | $1.6K | $315.56 | 5.07x | $1.3K | $969.6K | 3.6K | 2.4K |
| 2017 | $1.6K | $293.67 | 5.45x | $1.3K | $966.3K | 3.6K | 2.4K |
| 2018 | $1.6K | $323.45 | 5.05x | $1.3K | $1.1M | 3.8K | 2.5K |
| 2019 | $1.6K | $351.38 | 4.65x | $1.3K | $1.2M | 4.0K | 2.6K |
| 2020 | $1.6K | $358.19 | 4.56x | $1.3K | $1.1M | 3.6K | 2.3K |
| 2021 | $2.0K | $388.83 | 5.14x | $1.6K | $1.2M | 3.8K | 2.5K |
| 2022 | $2.8K | $697.92 | 3.99x | $2.1K | $1.2M | 3.8K | 2.5K |
| 2023 | $2.7K | $644.35 | 4.11x | $2.0K | $1.3M | 3.9K | 2.5K |
| 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 | 21.7K | $5.8M | $265.27 | 5.12x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.7K | $1.7M | $624.78 | 4.39x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.1K | $825.1K | $262.12 | 5.33x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.1K | $527.0K | $251.19 | 5.57x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.5K | $369.2K | $250.64 | 5.57x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 516 | $335.4K | $649.93 | 4.37x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.1K | $329.1K | $303.04 | 4.63x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.1K | $321.1K | $300.40 | 4.48x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.4K | $308.2K | $222.87 | 6.07x |
| 62311 | Injections of substances into lower or sacral spine | 515 | $140.5K | $272.82 | 4.74x |
| 62310 | Injections of substances into upper or middle spine | 431 | $121.4K | $281.56 | 4.59x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 29 | $107.1K | $3.7K | 2.84x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 56 | $37.3K | $666.65 | 4.50x |
| 64451 | Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance | 19 | $4.2K | $219.63 | 5.46x |
| 64640 | Destruction of peripheral nerve or branch | 34 | $1.3K | $38.73 | 33.56x |
This provider submits charges 5 times higher than what Medicare actually pays.
A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. 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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