This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $602.42 | $344.92 | 1.75x | $257.50 | $791.6K | 2.6K | 2.5K |
| 2015 | $681.81 | $319.69 | 2.13x | $362.12 | $812.8K | 2.6K | 2.5K |
| 2016 | $650.78 | $376.49 | 1.73x | $274.29 | $942.2K | 2.9K | 2.8K |
| 2017 | $713.65 | $388.48 | 1.84x | $325.17 | $883.6K | 2.8K | 2.7K |
| 2018 | $771.71 | $414.83 | 1.86x | $356.88 | $910.0K | 2.8K | 2.7K |
| 2019 | $728.07 | $431.75 | 1.69x | $296.32 | $894.1K | 2.6K | 2.5K |
| 2020 | $608.74 | $383.47 | 1.59x | $225.27 | $505.4K | 1.4K | 1.4K |
| 2021 | $691.86 | $430.51 | 1.61x | $261.35 | $729.0K | 1.9K | 1.9K |
| 2022 | $864.95 | $451.41 | 1.92x | $413.54 | $728.9K | 1.9K | 1.8K |
| 2023 | $1.1K | $651.31 | 1.72x | $470.11 | $866.6K | 1.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 5.6K | $2.2M | $391.71 | 1.72x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 6.5K | $1.7M | $268.00 | 2.26x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 3.1K | $920.5K | $301.32 | 2.15x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.9K | $710.9K | $377.74 | 1.17x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.1K | $479.2K | $422.57 | 1.62x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.4K | $386.4K | $274.84 | 2.00x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 709 | $196.7K | $277.48 | 2.34x |
| 67311 | Realignment of the eye with repair of one horizontal eye muscle | 261 | $138.6K | $530.87 | 1.97x |
| 67314 | Realignment of the eye with repair of one vertical muscle | 206 | $137.2K | $665.90 | 1.68x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 418 | $109.6K | $262.18 | 2.00x |
| 49650 | Repair of groin hernia using an endoscope | 55 | $94.3K | $1.7K | 1.50x |
| 45381 | Injections of large bowel using an endoscope | 312 | $94.3K | $302.19 | 2.08x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 150 | $91.8K | $611.78 | 1.95x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 211 | $81.9K | $388.24 | 1.11x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 280 | $81.9K | $292.39 | 1.86x |
| 64721 | Release and/or relocation of median nerve of hand | 106 | $75.6K | $712.89 | 1.74x |
| 62311 | Injections of substances into lower or sacral spine | 262 | $66.1K | $252.36 | 2.06x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 59 | $57.1K | $968.15 | 1.67x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 195 | $55.1K | $282.59 | 2.41x |
| 65820 | Incision to improve eye fluid flow | 25 | $44.6K | $1.8K | 1.28x |
This provider submits charges 1.87 times higher than what Medicare actually pays.
A markup ratio of 1.87x means for every $100 Medicare pays, this provider initially charges $187. This is lower 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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