This provider's $30.5M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 89% in 2023
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 | $662.39 | 5.00x | $2.6K | $2.8M | 4.2K | 28 |
| 2015 | $3.3K | $649.13 | 5.06x | $2.6K | $3.0M | 4.6K | 29 |
| 2016 | $3.4K | $709.04 | 4.73x | $2.6K | $3.5M | 5.0K | 35 |
| 2017 | $3.6K | $1.0K | 3.60x | $2.6K | $5.8M | 5.7K | 33 |
| 2018 | $3.7K | $987.36 | 3.80x | $2.8K | $5.1M | 5.2K | 37 |
| 2019 | $3.7K | $957.34 | 3.88x | $2.8K | $5.1M | 5.3K | 33 |
| 2020 | $3.4K | $867.97 | 3.97x | $2.6K | $1.8M | 2.1K | 22 |
| 2023 | $4.8K | $793.91 | 6.03x | $4.0K | $3.4M | 4.3K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 6.3K | $6.6M | $1.0K | 4.37x |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 1.7K | $4.6M | $2.6K | 2.18x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 552 | $2.5M | $4.6K | 2.60x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 120 | $2.5M | $21.0K | 1.51x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 6.1K | $2.1M | $336.49 | 7.88x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 2.7K | $1.2M | $433.20 | 7.83x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.7K | $947.6K | $352.91 | 8.96x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.2K | $888.8K | $764.26 | 4.67x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1.5K | $705.0K | $483.51 | 7.04x |
| 0191T | Internal insertion of eye fluid drainage device | 256 | $626.9K | $2.4K | 1.95x |
| 36903 | Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 90 | $579.3K | $6.4K | 1.69x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.6K | $575.8K | $353.68 | 6.92x |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 102 | $544.6K | $5.3K | 2.27x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 510 | $532.6K | $1.0K | 4.21x |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 1.1K | $501.1K | $437.68 | 7.02x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 461 | $370.1K | $802.82 | 4.39x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 1.3K | $344.6K | $270.51 | 6.28x |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 326 | $327.7K | $1.0K | 4.68x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 118 | $280.8K | $2.4K | 2.98x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 13 | $276.3K | $21.3K | 1.28x |
This provider submits charges 4.38 times higher than what Medicare actually pays.
A markup ratio of 4.38x means for every $100 Medicare pays, this provider initially charges $438. 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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