This provider's $23.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.2x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 218% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% 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 | $3.6K | $604.85 | 5.99x | $3.0K | $1.1M | 1.9K | 11 |
| 2015 | $4.0K | $952.15 | 4.23x | $3.1K | $1.8M | 1.9K | 13 |
| 2016 | $4.3K | $986.53 | 4.39x | $3.3K | $1.9M | 1.9K | 16 |
| 2017 | $4.5K | $1.3K | 3.58x | $3.2K | $2.3M | 1.8K | 14 |
| 2018 | $4.4K | $1.1K | 3.98x | $3.3K | $2.3M | 2.1K | 14 |
| 2019 | $4.2K | $882.01 | 4.74x | $3.3K | $2.0M | 2.2K | 16 |
| 2020 | $3.9K | $1.0K | 3.78x | $2.9K | $2.4M | 2.3K | 13 |
| 2021 | $5.8K | $1.0K | 5.70x | $4.8K | $2.6M | 2.6K | 14 |
| 2022 | $8.2K | $1.1K | 7.13x | $7.0K | $3.0M | 2.7K | 17 |
| 2023 | $9.7K | $1.4K | 6.86x | $8.2K | $3.7M | 2.6K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 400 | $8.2M | $20.5K | 2.11x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.2K | $4.9M | $4.0K | 3.93x |
| 62362 | Insertion of programmable spinal canal drug infusion pump | 116 | $1.3M | $11.2K | 2.25x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.1K | $1.2M | $584.10 | 10.56x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 4.3K | $1.2M | $280.97 | 11.63x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 3.7K | $1.1M | $287.79 | 12.23x |
| 22869 | Placement of stabilizing device to lower spine level | 101 | $1.0M | $10.1K | 2.44x |
| 62311 | Injections of substances into lower or sacral spine | 2.2K | $681.5K | $316.55 | 9.48x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1.5K | $484.7K | $319.70 | 10.07x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 48 | $426.1K | $8.9K | 2.25x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 563 | $371.7K | $660.22 | 9.60x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.1K | $362.5K | $318.02 | 11.88x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.5K | $362.0K | $249.32 | 15.75x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 1.2K | $341.5K | $280.14 | 11.74x |
| 33285 | Insertion of heart rhythm monitor under skin | 30 | $190.8K | $6.4K | 3.41x |
| 33263 | Removal and replacement of dual lead defibrillator | 11 | $183.1K | $16.6K | 2.70x |
| 27279 | Fusion of pelvic joint using imaging guidance | 14 | $179.0K | $12.8K | 1.96x |
| 62310 | Injections of substances into upper or middle spine | 557 | $174.3K | $312.92 | 9.59x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 11 | $169.8K | $15.4K | 2.50x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 19 | $129.4K | $6.8K | 6.61x |
This provider submits charges 5.2 times higher than what Medicare actually pays.
A markup ratio of 5.2x means for every $100 Medicare pays, this provider initially charges $520. 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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