This provider's $17.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.25x 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 | $4.0K | $858.62 | 4.70x | $3.2K | $1.4M | 1.8K | 1.6K |
| 2015 | $4.2K | $841.93 | 4.99x | $3.4K | $1.5M | 1.9K | 1.8K |
| 2016 | $4.1K | $800.46 | 5.06x | $3.3K | $1.5M | 2.1K | 1.9K |
| 2017 | $4.2K | $892.06 | 4.71x | $3.3K | $1.7M | 2.3K | 2.0K |
| 2018 | $4.1K | $890.74 | 4.61x | $3.2K | $2.2M | 2.9K | 2.4K |
| 2019 | $3.9K | $816.31 | 4.78x | $3.1K | $2.1M | 2.8K | 2.4K |
| 2020 | $4.2K | $859.01 | 4.92x | $3.4K | $1.6M | 2.0K | 1.8K |
| 2021 | $4.3K | $845.99 | 5.05x | $3.4K | $1.6M | 2.1K | 1.8K |
| 2022 | $5.3K | $1.1K | 5.03x | $4.2K | $2.3M | 3.0K | 2.5K |
| 2023 | $4.5K | $790.17 | 5.65x | $3.7K | $1.9M | 2.6K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.2K | $4.2M | $814.56 | 4.96x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 626 | $1.1M | $1.7K | 3.69x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 439 | $944.9K | $2.2K | 2.84x |
| 64721 | Release and/or relocation of median nerve of hand | 1.3K | $795.5K | $633.86 | 5.02x |
| 29880 | Removal of both knee cartilages using an endoscope | 739 | $771.9K | $1.0K | 4.62x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.7K | $685.8K | $407.96 | 7.00x |
| 45380 | Biopsy of large bowel using an endoscope | 2.1K | $659.0K | $312.19 | 9.10x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 783 | $629.7K | $804.27 | 7.34x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 448 | $505.5K | $1.1K | 4.46x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 176 | $471.4K | $2.7K | 6.41x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.7K | $436.9K | $255.63 | 9.39x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 226 | $433.1K | $1.9K | 6.91x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 243 | $412.2K | $1.7K | 4.31x |
| 23430 | Anchoring of biceps tendon | 267 | $404.1K | $1.5K | 4.66x |
| 29881 | Removal of one knee cartilage using an endoscope | 380 | $400.5K | $1.1K | 4.58x |
| 49505 | Repair of groin hernia patient age 5 years or older | 362 | $398.4K | $1.1K | 4.40x |
| 0191T | Internal insertion of eye fluid drainage device | 158 | $351.2K | $2.2K | 1.80x |
| 66174 | Dilation to improve eye fluid flow | 289 | $334.4K | $1.2K | 3.44x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 272 | $272.1K | $1.0K | 6.40x |
| 25447 | Removal of bone joints between wrist and fingers | 233 | $269.9K | $1.2K | 4.79x |
This provider submits charges 5.25 times higher than what Medicare actually pays.
A markup ratio of 5.25x means for every $100 Medicare pays, this provider initially charges $525. 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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