This provider's $41.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 157% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% in 2015
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 | $1.9K | $395.31 | 4.68x | $1.5K | $1.8M | 4.5K | 25 |
| 2015 | $4.3K | $943.27 | 4.60x | $3.4K | $3.1M | 3.3K | 34 |
| 2016 | $5.2K | $1.0K | 5.11x | $4.2K | $4.9M | 4.8K | 34 |
| 2017 | $5.2K | $1.1K | 4.85x | $4.1K | $5.8M | 5.4K | 41 |
| 2018 | $5.0K | $999.43 | 5.02x | $4.0K | $5.5M | 5.5K | 40 |
| 2019 | $1.7K | $326.05 | 5.20x | $1.4K | $4.7M | 14.5K | 39 |
| 2020 | $1.4K | $312.41 | 4.63x | $1.1K | $4.0M | 12.8K | 36 |
| 2021 | $894.51 | $183.26 | 4.88x | $711.25 | $3.1M | 16.8K | 36 |
| 2022 | $1.3K | $269.72 | 4.98x | $1.1K | $3.8M | 14.1K | 43 |
| 2023 | $1.0K | $206.41 | 4.91x | $807.25 | $4.6M | 22.3K | 44 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 332 | $7.3M | $21.9K | 3.31x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.3K | $5.9M | $4.5K | 5.84x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 7.3K | $2.5M | $339.15 | 5.58x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 3.3K | $1.7M | $526.73 | 5.49x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 4.1K | $1.6M | $400.93 | 5.52x |
| 64721 | Release and/or relocation of hand nerve | 2.1K | $1.6M | $786.52 | 4.78x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 560 | $1.5M | $2.8K | 5.08x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.8K | $1.4M | $756.08 | 4.29x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 664 | $1.3M | $1.9K | 4.35x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 543 | $1.0M | $1.9K | 4.80x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.8K | $935.5K | $334.94 | 6.14x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 2.1K | $775.5K | $361.04 | 5.43x |
| 26055 | Incision of tendon covering of finger | 1.2K | $672.0K | $567.61 | 4.96x |
| 29881 | Removal of knee cartilage using an endoscope | 431 | $576.4K | $1.3K | 4.71x |
| 27447 | Replacement of knee joint, both sides of knee | 56 | $557.9K | $10.0K | 5.92x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 266 | $502.7K | $1.9K | 4.20x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 27 | $490.8K | $18.2K | 3.91x |
| 29880 | Removal of both knee cartilages using an endoscope | 331 | $440.8K | $1.3K | 4.77x |
| 26123 | Removal of connective tissue of palm and release of finger, first digit | 327 | $436.4K | $1.3K | 4.49x |
| 28285 | Correction of toe joint deformity | 502 | $396.1K | $789.02 | 4.46x |
This provider submits charges 4.92 times higher than what Medicare actually pays.
A markup ratio of 4.92x means for every $100 Medicare pays, this provider initially charges $492. 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 |
| 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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