This provider's $15.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.16x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 63% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2021 | $16.9K | $4.6K | 3.66x | $12.3K | $3.6M | 778 | 14 |
| 2022 | $27.3K | $4.6K | 5.89x | $22.7K | $5.6M | 1.2K | 17 |
| 2023 | $25.0K | $4.6K | 5.39x | $20.3K | $5.8M | 1.3K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 283 | $5.5M | $19.4K | 4.19x |
| 22612 | Fusion of spine in lower back | 248 | $2.1M | $8.3K | 5.02x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 503 | $1.9M | $3.7K | 4.71x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 117 | $1.3M | $11.3K | 6.12x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 221 | $778.8K | $3.5K | 5.67x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 52 | $772.2K | $14.8K | 4.99x |
| 22869 | Placement of stabilizing device to lower spine level | 65 | $539.3K | $8.3K | 5.32x |
| 27279 | Fusion of pelvic joint using imaging guidance | 40 | $489.5K | $12.2K | 6.17x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 45 | $352.1K | $7.8K | 7.17x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 200 | $247.3K | $1.2K | 10.76x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 61 | $236.9K | $3.9K | 5.39x |
| 62350 | Insertion, revision, or repositioning of spinal canal tube for medication administration | 97 | $152.0K | $1.6K | 9.81x |
| 0775T | Fusion of sacroiliac joint between spine and pelvis with bone graft, accessed through skin using imaging guidance | 12 | $130.7K | $10.9K | 7.62x |
| 64772 | Incision or removal of spinal nerve | 174 | $85.6K | $492.21 | 9.55x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 275 | $71.8K | $261.10 | 6.81x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 108 | $68.3K | $632.83 | 5.09x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 216 | $66.3K | $307.07 | 6.71x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 40 | $65.5K | $1.6K | 6.43x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 201 | $51.4K | $255.71 | 5.05x |
| 63005 | Partial removal of spine bone with exploration and/or release of lower spinal cord or nerves, 1-2 segments | 23 | $32.6K | $1.4K | 12.96x |
This provider submits charges 5.16 times higher than what Medicare actually pays.
A markup ratio of 5.16x means for every $100 Medicare pays, this provider initially charges $516. 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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