This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 136% from 2014 to 2023.
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 | $3.7K | $915.50 | 4.09x | $2.8K | $441.8K | 533 | 501 |
| 2015 | $3.9K | $1.1K | 3.55x | $2.8K | $502.1K | 541 | 497 |
| 2016 | $3.8K | $872.62 | 4.34x | $2.9K | $520.3K | 633 | 606 |
| 2017 | $3.7K | $874.87 | 4.18x | $2.8K | $523.2K | 637 | 598 |
| 2018 | $4.0K | $966.56 | 4.12x | $3.0K | $641.9K | 733 | 675 |
| 2019 | $4.1K | $981.38 | 4.14x | $3.1K | $728.4K | 809 | 756 |
| 2020 | $4.5K | $1.2K | 3.73x | $3.3K | $856.6K | 758 | 698 |
| 2021 | $6.1K | $1.2K | 5.25x | $4.9K | $800.8K | 781 | 717 |
| 2022 | $6.3K | $1.2K | 5.11x | $5.0K | $896.3K | 853 | 790 |
| 2023 | $6.2K | $1.1K | 5.43x | $5.1K | $1.0M | 988 | 929 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 261 | $895.6K | $3.4K | 3.21x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 372 | $768.6K | $2.1K | 4.21x |
| 29881 | Removal of one knee cartilage using an endoscope | 573 | $635.8K | $1.1K | 4.46x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 180 | $621.5K | $3.5K | 2.98x |
| 64721 | Release and/or relocation of median nerve of hand | 861 | $585.7K | $680.20 | 7.03x |
| 26055 | Incision of tendon covering | 969 | $522.6K | $539.30 | 5.25x |
| 29880 | Removal of both knee cartilages using an endoscope | 337 | $376.3K | $1.1K | 4.60x |
| 29848 | Release of wrist ligament using an endoscope | 516 | $348.8K | $675.94 | 10.13x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 124 | $288.8K | $2.3K | 2.17x |
| 25447 | Removal of bone joints between wrist and fingers | 188 | $201.1K | $1.1K | 6.21x |
| 24685 | Open treatment of broken forearm bone at elbow | 56 | $169.1K | $3.0K | 3.84x |
| 20680 | Removal of deep bone implant | 182 | $156.6K | $860.67 | 3.40x |
| 26123 | Removal of tissue of palm | 136 | $152.9K | $1.1K | 4.02x |
| 26160 | Removal of growth of tendon finger or hand | 212 | $123.3K | $581.43 | 5.07x |
| 28285 | Correction of toe joint deformity | 160 | $111.7K | $698.03 | 4.55x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 330 | $96.7K | $293.09 | 9.36x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 329 | $89.9K | $273.25 | 11.90x |
| 26121 | Removal of tissue of palm | 92 | $89.3K | $970.92 | 4.21x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 241 | $82.1K | $340.55 | 8.95x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 94 | $65.3K | $695.17 | 9.24x |
This provider submits charges 4.98 times higher than what Medicare actually pays.
A markup ratio of 4.98x means for every $100 Medicare pays, this provider initially charges $498. 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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