This provider's $15.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 179% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 136% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $2.3K | $1.5K | 1.54x | $811.40 | $1.8M | 1.2K | 12 |
| 2021 | $2.8K | $1.3K | 2.16x | $1.5K | $4.2M | 3.2K | 19 |
| 2022 | $3.0K | $1.5K | 2.06x | $1.6K | $4.4M | 3.0K | 22 |
| 2023 | $5.2K | $2.0K | 2.64x | $3.2K | $5.0M | 2.5K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 278 | $5.6M | $20.2K | 2.01x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 716 | $2.8M | $3.9K | 1.77x |
| 27279 | Fusion of pelvic joint using imaging guidance | 92 | $1.1M | $12.1K | 1.96x |
| 66988 | Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 344 | $695.8K | $2.0K | 1.54x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 85 | $686.4K | $8.1K | 2.55x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 866 | $541.6K | $625.42 | 2.04x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 671 | $512.2K | $763.39 | 6.56x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.7K | $465.9K | $272.96 | 2.31x |
| 66174 | Dilation to improve eye fluid flow | 384 | $361.9K | $942.32 | 2.68x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 93 | $332.0K | $3.6K | 2.22x |
| 65820 | Incision to improve eye fluid flow | 179 | $278.9K | $1.6K | 2.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 408 | $253.6K | $621.52 | 2.14x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 853 | $236.7K | $277.49 | 2.31x |
| 63663 | Revision of spinal neurostimulator electrode array using fluoroscopic guidance | 57 | $226.2K | $4.0K | 1.93x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 682 | $214.2K | $314.10 | 1.96x |
| 66987 | Complex removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 85 | $174.1K | $2.0K | 1.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 774 | $174.0K | $224.81 | 2.44x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 195 | $148.8K | $762.87 | 6.60x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 11 | $130.8K | $11.9K | 1.37x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 388 | $104.9K | $270.25 | 2.17x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data