This provider's $10.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.61x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 278% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2021
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 | $5.0K | $885.23 | 5.69x | $4.2K | $523.4K | 914 | 771 |
| 2015 | $6.1K | $1.2K | 5.18x | $4.9K | $785.1K | 1.1K | 897 |
| 2016 | $5.7K | $1.1K | 4.99x | $4.6K | $762.5K | 1.2K | 966 |
| 2017 | $7.0K | $1.3K | 5.56x | $5.7K | $962.6K | 1.2K | 1.0K |
| 2018 | $7.7K | $1.4K | 5.69x | $6.3K | $916.9K | 1.2K | 1.0K |
| 2019 | $6.1K | $1.1K | 5.66x | $5.1K | $941.9K | 1.4K | 1.1K |
| 2020 | $7.1K | $1.3K | 5.58x | $5.8K | $700.0K | 1.0K | 877 |
| 2021 | $8.6K | $1.6K | 5.53x | $7.1K | $1.1M | 1.4K | 1.2K |
| 2022 | $9.7K | $1.7K | 5.80x | $8.0K | $1.4M | 1.4K | 1.2K |
| 2023 | $11.4K | $2.1K | 5.36x | $9.3K | $2.0M | 1.6K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.3K | $1.5M | $350.01 | 5.58x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 393 | $1.0M | $2.6K | 5.83x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 214 | $931.6K | $4.4K | 4.86x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 86 | $875.8K | $10.2K | 6.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.7K | $590.4K | $356.75 | 5.24x |
| 49650 | Repair of groin hernia using an endoscope | 259 | $574.6K | $2.2K | 4.92x |
| 49505 | Repair of groin hernia patient age 5 years or older | 348 | $520.8K | $1.5K | 5.56x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 600 | $434.1K | $723.46 | 4.34x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 143 | $408.2K | $2.9K | 6.02x |
| 29881 | Removal of one knee cartilage using an endoscope | 284 | $391.7K | $1.4K | 4.59x |
| 23430 | Anchoring of biceps tendon | 165 | $339.5K | $2.1K | 4.25x |
| 29848 | Release of wrist ligament using an endoscope | 407 | $325.8K | $800.60 | 8.40x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 41 | $193.6K | $4.7K | 5.65x |
| 27447 | Replacement of knee joint, both sides of knee | 17 | $179.4K | $10.6K | 5.94x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 455 | $174.1K | $382.65 | 5.35x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 533 | $153.7K | $288.29 | 10.08x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 429 | $141.1K | $328.82 | 6.28x |
| 26055 | Incision of tendon covering | 218 | $129.6K | $594.57 | 5.32x |
| 55700 | Biopsy of prostate gland | 139 | $125.3K | $901.47 | 5.57x |
| 29880 | Removal of both knee cartilages using an endoscope | 92 | $120.8K | $1.3K | 4.71x |
This provider submits charges 5.61 times higher than what Medicare actually pays.
A markup ratio of 5.61x means for every $100 Medicare pays, this provider initially charges $561. 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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