This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.44x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 90% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 114% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $5.4K | $840.72 | 6.39x | $4.5K | $528.0K | 875 | 659 |
| 2015 | $5.5K | $922.46 | 5.99x | $4.6K | $563.7K | 881 | 624 |
| 2016 | $5.1K | $769.15 | 6.65x | $4.3K | $534.2K | 1.0K | 738 |
| 2017 | $7.9K | $1.5K | 5.16x | $6.4K | $697.9K | 981 | 793 |
| 2018 | $7.9K | $1.3K | 5.85x | $6.5K | $791.4K | 1.1K | 866 |
| 2019 | $7.4K | $1.2K | 6.31x | $6.3K | $659.0K | 949 | 703 |
| 2020 | $7.4K | $1.2K | 6.34x | $6.3K | $462.3K | 607 | 487 |
| 2021 | $11.4K | $2.5K | 4.64x | $9.0K | $990.0K | 885 | 677 |
| 2022 | $11.0K | $2.3K | 4.81x | $8.7K | $751.2K | 814 | 610 |
| 2023 | $10.7K | $2.1K | 5.07x | $8.6K | $1.0M | 937 | 733 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $1.0M | $729.26 | 5.09x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 61 | $614.8K | $10.1K | 2.69x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 178 | $488.0K | $2.7K | 4.61x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 45 | $465.0K | $10.3K | 4.85x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 90 | $459.9K | $5.1K | 2.66x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $427.9K | $335.11 | 10.28x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 567 | $399.5K | $704.55 | 5.40x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 953 | $388.8K | $408.00 | 8.27x |
| 33285 | Insertion of heart rhythm monitor under skin | 46 | $361.7K | $7.9K | 2.40x |
| 29881 | Removal of one knee cartilage using an endoscope | 272 | $344.2K | $1.3K | 8.99x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.3K | $333.2K | $260.32 | 10.29x |
| 29880 | Removal of both knee cartilages using an endoscope | 224 | $300.9K | $1.3K | 8.16x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 776 | $257.1K | $331.33 | 10.34x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 463 | $156.6K | $338.13 | 10.49x |
| 29807 | Repair of shoulder socket cartilage using an endoscope | 65 | $144.4K | $2.2K | 5.30x |
| 29855 | Treatment of broken leg bone with assistance of an endoscope | 31 | $135.8K | $4.4K | 2.12x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 11 | $96.7K | $8.8K | 2.82x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 146 | $96.3K | $659.83 | 6.50x |
| 62311 | Injections of substances into lower or sacral spine | 241 | $92.8K | $385.01 | 7.76x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 267 | $91.9K | $344.14 | 10.61x |
This provider submits charges 6.44 times higher than what Medicare actually pays.
A markup ratio of 6.44x means for every $100 Medicare pays, this provider initially charges $644. 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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