This provider's $36.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1624% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 263% in 2015
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $5.0K | $2.5K | 1.99x | $2.5K | $376.5K | 150 | 1 |
| 2015 | $10.1K | $4.0K | 2.54x | $6.1K | $1.4M | 343 | 3 |
| 2016 | $11.7K | $4.3K | 2.73x | $7.4K | $2.1M | 487 | 3 |
| 2017 | $11.3K | $4.5K | 2.49x | $6.7K | $3.4M | 749 | 5 |
| 2018 | $11.6K | $4.7K | 2.44x | $6.8K | $4.1M | 856 | 6 |
| 2019 | $11.2K | $4.6K | 2.41x | $6.5K | $4.4M | 941 | 5 |
| 2020 | $11.8K | $5.2K | 2.30x | $6.7K | $4.1M | 796 | 4 |
| 2021 | $12.7K | $5.5K | 2.32x | $7.2K | $4.7M | 866 | 3 |
| 2022 | $12.6K | $5.4K | 2.31x | $7.1K | $5.8M | 1.1K | 5 |
| 2023 | $12.4K | $5.7K | 2.17x | $6.7K | $6.5M | 1.1K | 3 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 1.7K | $19.6M | $11.8K | 1.70x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 4.3K | $13.1M | $3.1K | 2.21x |
| 64581 | Insertion of sacral nerve neurostimulator electrode | 1.1K | $3.7M | $3.2K | 6.27x |
| 64595 | Revision of peripheral or gastric neurostimulator generator | 142 | $187.4K | $1.3K | 3.79x |
| 64585 | Revision of peripheral neurostimulator electrodes | 138 | $131.6K | $953.56 | 5.19x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 40 | $47.9K | $1.2K | 4.05x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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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