This provider's $10.3M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.34x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% 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 | $6.4K | $514.19 | 12.36x | $5.8K | $1.4M | 2.3K | 1.6K |
| 2015 | $5.7K | $428.08 | 13.40x | $5.3K | $819.5K | 1.4K | 1.1K |
| 2017 | $23.9K | $5.5K | 4.33x | $18.4K | $1.1M | 240 | 229 |
| 2018 | $16.4K | $4.8K | 3.41x | $11.6K | $2.3M | 503 | 483 |
| 2019 | $13.9K | $3.3K | 4.18x | $10.5K | $1.7M | 701 | 676 |
| 2020 | $15.4K | $4.5K | 3.43x | $10.9K | $1.7M | 837 | 815 |
| 2023 | $14.1K | $2.8K | 5.06x | $11.3K | $1.3M | 819 | 792 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 153 | $3.4M | $22.0K | 2.45x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 263 | $1.7M | $6.5K | 5.24x |
| 66984 | Removal of cataract with insertion of lens | 2.0K | $1.7M | $821.60 | 11.37x |
| 33264 | Removal and replacement of defibrillator pulse generator | 31 | $677.2K | $21.8K | 2.04x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 70 | $448.8K | $6.4K | 4.65x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 93 | $336.6K | $3.6K | 3.66x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 14 | $220.6K | $15.8K | 2.86x |
| 33282 | Implantation patient-activated heart monitoring device | 42 | $216.7K | $5.2K | 3.85x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 707 | $187.6K | $265.42 | 21.20x |
| 22612 | Fusion of spine in lower back | 14 | $184.9K | $13.2K | 2.27x |
| 33285 | Insertion of heart rhythm monitor under skin | 28 | $153.1K | $5.5K | 3.66x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 753 | $140.1K | $186.00 | 16.96x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 206 | $124.5K | $604.56 | 9.51x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 277 | $122.4K | $441.76 | 15.73x |
| 45380 | Biopsy of large bowel using an endoscope | 288 | $104.3K | $362.19 | 15.60x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 345 | $90.5K | $262.45 | 20.95x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 324 | $82.2K | $253.69 | 19.56x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 56 | $33.1K | $590.38 | 10.04x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 82 | $31.9K | $389.26 | 17.65x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 65 | $30.8K | $473.58 | 16.69x |
This provider submits charges 6.34 times higher than what Medicare actually pays.
A markup ratio of 6.34x means for every $100 Medicare pays, this provider initially charges $634. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data