This provider's $19.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.44x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2018
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 | $3.3K | $542.31 | 6.17x | $2.8K | $1.3M | 2.9K | 2.4K |
| 2015 | $3.1K | $536.00 | 5.76x | $2.6K | $1.2M | 2.8K | 2.4K |
| 2016 | $3.4K | $498.72 | 6.86x | $2.9K | $1.6M | 3.3K | 2.7K |
| 2017 | $3.4K | $488.65 | 7.05x | $3.0K | $1.7M | 3.3K | 2.8K |
| 2018 | $4.2K | $666.60 | 6.30x | $3.5K | $2.7M | 4.1K | 3.3K |
| 2019 | $4.8K | $766.82 | 6.29x | $4.1K | $3.1M | 4.6K | 3.7K |
| 2020 | $4.8K | $709.18 | 6.72x | $4.1K | $2.2M | 3.2K | 2.6K |
| 2021 | $4.8K | $805.16 | 6.01x | $4.0K | $2.0M | 3.0K | 2.5K |
| 2022 | $4.9K | $750.32 | 6.51x | $4.1K | $1.6M | 2.3K | 1.9K |
| 2023 | $5.2K | $829.41 | 6.30x | $4.4K | $1.8M | 2.2K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.8K | $5.4M | $801.52 | 6.57x |
| 0191T | Internal insertion of eye fluid drainage device | 915 | $2.0M | $2.2K | 4.55x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.3K | $1.4M | $430.15 | 6.43x |
| 66982 | Removal of cataract with insertion of lens | 1.8K | $1.3M | $763.62 | 6.85x |
| 66174 | Dilation to improve eye fluid flow | 677 | $1.1M | $1.6K | 5.02x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.0K | $725.7K | $705.94 | 4.83x |
| 45380 | Biopsy of large bowel using an endoscope | 2.2K | $698.1K | $324.42 | 8.25x |
| 65820 | Incision to improve eye fluid flow | 514 | $685.9K | $1.3K | 5.58x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 159 | $481.9K | $3.0K | 4.64x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.7K | $426.8K | $249.02 | 10.21x |
| 64721 | Release and/or relocation of median nerve of hand | 601 | $403.7K | $671.71 | 5.70x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.4K | $391.4K | $274.67 | 7.42x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.4K | $377.8K | $267.77 | 7.27x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $365.2K | $284.89 | 6.61x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 99 | $298.7K | $3.0K | 4.68x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 665 | $267.8K | $402.65 | 6.20x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.1K | $265.4K | $250.39 | 12.94x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 959 | $259.1K | $270.21 | 9.21x |
| 28750 | Fusion of great toe | 76 | $249.9K | $3.3K | 4.51x |
| 43249 | Balloon dilation of esophagus using an endoscope | 442 | $244.6K | $553.30 | 6.23x |
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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