This provider's $10.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 14.01x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 164% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 90% 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 | $8.8K | $715.42 | 12.24x | $8.0K | $599.1K | 818 | 604 |
| 2015 | $10.0K | $437.05 | 22.78x | $9.5K | $722.5K | 1.2K | 827 |
| 2016 | $11.4K | $459.10 | 24.86x | $11.0K | $709.1K | 1.1K | 821 |
| 2017 | $14.1K | $855.38 | 16.45x | $13.2K | $1.0M | 1.6K | 1.2K |
| 2018 | $6.3K | $587.09 | 10.76x | $5.7K | $879.1K | 1.3K | 1.0K |
| 2019 | $11.5K | $1.6K | 7.02x | $9.8K | $1.3M | 1.6K | 1.2K |
| 2020 | $6.1K | $431.03 | 14.14x | $5.7K | $733.8K | 917 | 669 |
| 2021 | $10.2K | $2.0K | 5.17x | $8.3K | $1.4M | 1.3K | 951 |
| 2022 | $24.6K | $1.7K | 14.82x | $22.9K | $1.7M | 1.6K | 1.1K |
| 2023 | $14.1K | $1.5K | 9.22x | $12.6K | $1.6M | 1.5K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 7.2K | $6.2M | $861.50 | 14.86x |
| 66174 | Dilation to improve eye fluid flow | 801 | $1.2M | $1.6K | 10.20x |
| 66982 | Removal of cataract with insertion of lens | 632 | $511.8K | $809.89 | 15.16x |
| 0191T | Internal insertion of eye fluid drainage device | 269 | $488.4K | $1.8K | 10.24x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 12 | $244.9K | $20.4K | 1.85x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.1K | $231.5K | $212.57 | 20.62x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 743 | $204.2K | $274.84 | 28.45x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 12 | $183.4K | $15.3K | 2.56x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 62 | $183.3K | $3.0K | 9.57x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 469 | $177.2K | $377.90 | 3.67x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 39 | $154.0K | $3.9K | 8.32x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 306 | $79.5K | $259.95 | 28.07x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 268 | $73.0K | $272.57 | 37.32x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 23 | $57.0K | $2.5K | 20.29x |
| V2785 | Processing, preserving and transporting corneal tissue | 15 | $53.9K | $3.6K | 1.37x |
| 65820 | Incision to improve eye fluid flow | 51 | $47.8K | $936.30 | 4.96x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 11 | $47.2K | $4.3K | 13.08x |
| 28750 | Fusion of big toe at joint with foot | 13 | $46.3K | $3.6K | 14.63x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 76 | $43.2K | $568.64 | 18.25x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 155 | $42.2K | $272.52 | 36.27x |
This provider submits charges 14.01 times higher than what Medicare actually pays.
A markup ratio of 14.01x means for every $100 Medicare pays, this provider initially charges $1401. 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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