This provider's $23.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 512% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 116% in 2020
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 | $460.06 | 4.20x | $1.5K | $759.6K | 1.7K | 10 |
| 2015 | $1.9K | $456.83 | 4.23x | $1.5K | $721.3K | 1.6K | 11 |
| 2016 | $2.0K | $459.94 | 4.24x | $1.5K | $844.9K | 1.8K | 10 |
| 2017 | $2.0K | $492.86 | 4.15x | $1.6K | $932.5K | 1.9K | 12 |
| 2018 | $2.0K | $492.77 | 4.03x | $1.5K | $787.9K | 1.6K | 9 |
| 2019 | $2.6K | $890.14 | 2.96x | $1.7K | $1.6M | 1.8K | 11 |
| 2020 | $4.2K | $1.7K | 2.42x | $2.5K | $3.5M | 2.0K | 13 |
| 2021 | $4.9K | $2.2K | 2.28x | $2.8K | $4.9M | 2.2K | 17 |
| 2022 | $4.3K | $1.8K | 2.42x | $2.5K | $4.4M | 2.5K | 15 |
| 2023 | $4.6K | $2.1K | 2.24x | $2.6K | $4.6M | 2.2K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 240 | $4.6M | $19.0K | 1.81x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 1.3K | $4.4M | $3.3K | 1.78x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.2K | $4.1M | $3.6K | 1.58x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 5.2K | $4.1M | $792.74 | 3.11x |
| 22869 | Placement of stabilizing device to lower spine level | 113 | $937.9K | $8.3K | 2.65x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 3.1K | $703.3K | $229.91 | 7.89x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 40 | $558.2K | $14.0K | 2.24x |
| 62311 | Injections of substances into lower or sacral spine | 1.6K | $452.7K | $279.12 | 6.48x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1.6K | $443.5K | $269.78 | 6.00x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 573 | $354.0K | $617.77 | 2.82x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.2K | $308.6K | $256.96 | 5.76x |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 52 | $307.4K | $5.9K | 3.91x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 67 | $247.8K | $3.7K | 1.48x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 22 | $227.2K | $10.3K | 3.10x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 969 | $226.0K | $233.19 | 7.78x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 34 | $172.7K | $5.1K | 1.44x |
| 50590 | Shock wave crushing of kidney stones | 106 | $141.4K | $1.3K | 1.87x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 163 | $130.8K | $802.66 | 11.49x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 19 | $130.3K | $6.9K | 3.21x |
| 62310 | Injections of substances into upper or middle spine | 437 | $121.1K | $277.16 | 6.51x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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