This provider's $4.2M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 3153% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 248% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $1.2K | $271.27 | 4.56x | $964.78 | $33.7K | 141 | 116 |
| 2018 | $1.5K | $305.18 | 4.90x | $1.2K | $117.3K | 448 | 283 |
| 2019 | $2.3K | $604.49 | 3.88x | $1.7K | $228.0K | 617 | 371 |
| 2020 | $6.0K | $2.2K | 2.76x | $3.8K | $689.9K | 612 | 406 |
| 2021 | $10.2K | $3.5K | 2.88x | $6.6K | $1.1M | 769 | 566 |
| 2022 | $9.4K | $3.2K | 2.93x | $6.2K | $1.0M | 868 | 633 |
| 2023 | $10.0K | $3.5K | 2.83x | $6.4K | $1.1M | 901 | 636 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 63 | $1.1M | $17.1K | 2.38x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 94 | $942.7K | $10.0K | 3.12x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 162 | $521.0K | $3.2K | 2.88x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.2K | $256.7K | $217.18 | 6.08x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 37 | $229.8K | $6.2K | 2.55x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.0K | $223.4K | $222.04 | 6.14x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 337 | $189.2K | $561.44 | 4.67x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 541 | $155.1K | $286.63 | 4.27x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 198 | $109.0K | $550.63 | 4.73x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 33 | $104.4K | $3.2K | 2.24x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 14 | $103.4K | $7.4K | 3.13x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 14 | $96.8K | $6.9K | 3.47x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 20 | $64.5K | $3.2K | 3.19x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 303 | $64.4K | $212.69 | 6.14x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 225 | $63.8K | $283.69 | 5.20x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 109 | $31.8K | $291.88 | 5.18x |
| 64421 | Injection of anesthetic agent and/or steroid into multiple intercostal nerves of ribs for regional nerve block | 18 | $5.2K | $289.65 | 4.57x |
This provider submits charges 3.44 times higher than what Medicare actually pays.
A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. This is higher than the national average.
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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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