This provider's $5.1M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 15.26x 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 | $3.6K | $271.54 | 13.09x | $3.3K | $551.7K | 1.9K | 1.1K |
| 2015 | $4.0K | $266.18 | 14.93x | $3.7K | $544.1K | 1.9K | 1.1K |
| 2016 | $3.7K | $237.62 | 15.75x | $3.5K | $492.4K | 1.9K | 1.1K |
| 2017 | $4.8K | $540.48 | 8.87x | $4.3K | $468.1K | 1.9K | 1.1K |
| 2018 | $5.1K | $560.67 | 9.02x | $4.5K | $514.0K | 1.7K | 1.0K |
| 2019 | $4.7K | $506.93 | 9.26x | $4.2K | $479.8K | 1.6K | 970 |
| 2020 | $9.0K | $1.5K | 5.94x | $7.5K | $532.0K | 1.3K | 800 |
| 2021 | $7.9K | $1.3K | 5.89x | $6.5K | $572.2K | 1.4K | 913 |
| 2022 | $5.1K | $746.29 | 6.85x | $4.4K | $430.4K | 1.0K | 767 |
| 2023 | $5.0K | $681.63 | 7.32x | $4.3K | $471.4K | 1.3K | 903 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 6.0K | $1.4M | $239.12 | 20.90x |
| 62311 | Injections of substances into lower or sacral spine | 3.6K | $1.0M | $279.48 | 16.31x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 197 | $720.2K | $3.7K | 2.82x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.7K | $479.8K | $285.23 | 16.93x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.2K | $271.3K | $234.90 | 19.82x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 991 | $246.7K | $248.89 | 19.63x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 26 | $212.7K | $8.2K | 4.46x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 397 | $204.4K | $514.86 | 13.15x |
| 62310 | Injections of substances into upper or middle spine | 728 | $200.8K | $275.89 | 16.57x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 416 | $91.4K | $219.77 | 7.60x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 314 | $82.5K | $262.73 | 18.75x |
| 22514 | Treatment of broken lower spine bone with placement of stabilizing device | 23 | $55.3K | $2.4K | 6.22x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 59 | $31.1K | $526.65 | 9.37x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 11 | $6.4K | $585.39 | 1.66x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 138 | $3.7K | $26.72 | 45.60x |
| 64451 | Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance | 13 | $2.7K | $204.53 | 4.71x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 119 | $2.1K | $17.86 | 37.16x |
| 64640 | Destruction of peripheral nerve or branch | 45 | $1.9K | $43.06 | 116.49x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 14 | $1.8K | $128.34 | 3.76x |
This provider submits charges 15.26 times higher than what Medicare actually pays.
A markup ratio of 15.26x means for every $100 Medicare pays, this provider initially charges $1526. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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