This provider's $5.4M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 314% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 116% in 2019
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 | $1.3K | $282.25 | 4.57x | $1.0K | $323.0K | 1.4K | 1.0K |
| 2015 | $1.4K | $240.34 | 6.01x | $1.2K | $329.2K | 1.4K | 1.0K |
| 2016 | $1.2K | $198.08 | 6.14x | $1.0K | $324.4K | 1.4K | 1.0K |
| 2017 | $2.1K | $479.52 | 4.38x | $1.6K | $350.2K | 1.3K | 924 |
| 2018 | $1.4K | $262.19 | 5.47x | $1.2K | $344.8K | 1.5K | 1.1K |
| 2019 | $7.1K | $1.9K | 3.73x | $5.2K | $743.8K | 1.6K | 1.1K |
| 2020 | $2.4K | $590.18 | 3.99x | $1.8K | $411.5K | 1.3K | 914 |
| 2021 | $7.1K | $2.1K | 3.40x | $5.0K | $498.1K | 1.1K | 777 |
| 2022 | $7.2K | $1.5K | 4.79x | $5.7K | $727.4K | 1.3K | 924 |
| 2023 | $10.9K | $2.8K | 3.90x | $8.1K | $1.3M | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.8K | $1.4M | $244.98 | 4.94x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 39 | $697.9K | $17.9K | 3.29x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 90 | $631.6K | $7.0K | 4.99x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $499.9K | $232.93 | 5.10x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 113 | $390.6K | $3.5K | 3.17x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 714 | $355.4K | $497.72 | 4.52x |
| 27447 | Replacement of knee joint, both sides of knee | 48 | $331.9K | $6.9K | 5.06x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 916 | $207.1K | $226.05 | 5.14x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 792 | $178.6K | $225.47 | 5.16x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 695 | $170.9K | $245.88 | 4.84x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 725 | $143.5K | $197.94 | 5.79x |
| 62311 | Injections of substances into lower or sacral spine | 463 | $117.5K | $253.75 | 4.39x |
| 62310 | Injections of substances into upper or middle spine | 351 | $84.2K | $240.01 | 4.64x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 151 | $78.7K | $520.91 | 4.30x |
| 64721 | Release and/or relocation of median nerve of hand | 47 | $25.2K | $535.17 | 4.10x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 97 | $22.2K | $228.70 | 5.20x |
| 26055 | Incision of tendon covering | 28 | $12.3K | $437.72 | 4.49x |
| 28285 | Correction of toe joint deformity | 11 | $7.6K | $688.74 | 3.93x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 260 | $4.5K | $17.16 | 52.03x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 232 | $2.7K | $11.50 | 55.93x |
This provider submits charges 4.68 times higher than what Medicare actually pays.
A markup ratio of 4.68x means for every $100 Medicare pays, this provider initially charges $468. 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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