This provider's $5.9M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $18.9K | $8.0K | 2.37x | $10.9K | $1.9M | 206 | 205 |
| 2022 | $22.5K | $9.2K | 2.43x | $13.2K | $1.8M | 180 | 179 |
| 2023 | $19.9K | $7.6K | 2.60x | $12.2K | $2.2M | 265 | 257 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 151 | $3.1M | $20.2K | 2.49x |
| 63655 | Implantation of spinal neurostimulator electrodes | 98 | $1.4M | $14.4K | 2.41x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 188 | $476.4K | $2.5K | 2.42x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, complex | 47 | $335.6K | $7.1K | 2.54x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 26 | $214.2K | $8.2K | 2.55x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 71 | $165.7K | $2.3K | 2.62x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 40 | $160.5K | $4.0K | 2.61x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 14 | $21.2K | $1.5K | 2.55x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure, any site as separate procedure | 16 | $18.7K | $1.2K | 2.36x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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