This provider's $3.4M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.17x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 166% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6755% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $24.3K | $5.2K | 4.64x | $19.1K | $406.9K | 143 | 116 |
| 2016 | $17.2K | $2.9K | 5.97x | $14.3K | $753.2K | 515 | 391 |
| 2017 | $11.7K | $892.29 | 13.16x | $10.8K | $399.5K | 538 | 445 |
| 2018 | $11.4K | $2.2K | 5.11x | $9.2K | $435.9K | 393 | 331 |
| 2019 | $12.2K | $781.55 | 15.61x | $11.4K | $281.7K | 514 | 424 |
| 2020 | $14.4K | $612.08 | 23.58x | $13.8K | $15.8K | 29 | 28 |
| 2023 | $19.8K | $2.0K | 9.95x | $17.8K | $1.1M | 821 | 743 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33264 | Removal and replacement of defibrillator pulse generator | 31 | $754.4K | $24.3K | 3.43x |
| 33282 | Implantation patient-activated heart monitoring device | 92 | $504.2K | $5.5K | 2.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 978 | $297.7K | $304.42 | 25.15x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 26 | $240.6K | $9.3K | 7.18x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 82 | $198.0K | $2.4K | 9.13x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 294 | $179.6K | $610.73 | 12.64x |
| 27447 | Replacement of knee joint, both sides of knee | 17 | $150.0K | $8.8K | 7.32x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 14 | $103.9K | $7.4K | 1.82x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 14 | $101.3K | $7.2K | 1.82x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 35 | $100.2K | $2.9K | 7.65x |
| 29881 | Removal of one knee cartilage using an endoscope | 82 | $95.0K | $1.2K | 18.39x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 29 | $88.6K | $3.1K | 9.39x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 256 | $80.0K | $312.45 | 24.58x |
| 29880 | Removal of both knee cartilages using an endoscope | 59 | $71.4K | $1.2K | 17.84x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 211 | $58.0K | $274.80 | 27.98x |
| 28750 | Fusion of big toe at joint with foot | 13 | $55.0K | $4.2K | 4.43x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 72 | $54.2K | $752.65 | 29.01x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 155 | $51.2K | $330.11 | 23.30x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 129 | $40.1K | $311.17 | 24.37x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 102 | $30.0K | $293.65 | 26.41x |
This provider submits charges 10.17 times higher than what Medicare actually pays.
A markup ratio of 10.17x means for every $100 Medicare pays, this provider initially charges $1017. 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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