This provider's $8.9M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 52% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 126% in 2022
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2017 | $25.7K | $10.1K | 2.53x | $15.5K | $1.2M | 120 | 120 |
| 2018 | $33.4K | $13.3K | 2.51x | $20.1K | $1.8M | 137 | 135 |
| 2019 | $25.9K | $10.3K | 2.53x | $15.6K | $1.2M | 108 | 108 |
| 2020 | $26.0K | $10.5K | 2.48x | $15.5K | $1.2M | 117 | 117 |
| 2021 | $15.2K | $6.2K | 2.47x | $9.1K | $486.8K | 82 | 82 |
| 2022 | $27.2K | $10.9K | 2.50x | $16.3K | $1.1M | 106 | 106 |
| 2023 | $36.0K | $13.3K | 2.70x | $22.7K | $1.9M | 166 | 166 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 131 | $3.7M | $28.2K | 2.54x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 176 | $1.5M | $8.3K | 2.54x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 150 | $1.2M | $8.1K | 2.55x |
| 33285 | Insertion of heart rhythm monitor under skin | 125 | $894.4K | $7.2K | 2.49x |
| 33264 | Removal and replacement of defibrillator pulse generator | 27 | $750.5K | $27.8K | 2.60x |
| 33282 | Implantation patient-activated heart monitoring device | 88 | $574.0K | $6.5K | 2.46x |
| 33263 | Removal and replacement of dual lead defibrillator | 11 | $225.3K | $20.5K | 2.70x |
| 33207 | Insertion of pacemaker and lower heart chamber electrode | 11 | $87.7K | $8.0K | 2.68x |
| 33286 | Removal of heart rhythm monitor from under skin | 92 | $30.8K | $334.93 | 2.41x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 25 | $7.7K | $306.63 | 2.93x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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 | โ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | โ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | โ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | โ 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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