This provider's $3.8M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 67% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 84% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $1.0K | $173.98 | 5.98x | $866.41 | $412.0K | 2.2K | 1.6K |
| 2019 | $1.7K | $448.22 | 3.72x | $1.2K | $759.8K | 3.4K | 2.2K |
| 2020 | $1.7K | $472.65 | 3.56x | $1.2K | $631.3K | 2.8K | 1.9K |
| 2021 | $1.6K | $473.19 | 3.42x | $1.1K | $712.6K | 2.8K | 1.9K |
| 2022 | $1.6K | $469.76 | 3.35x | $1.1K | $612.2K | 2.3K | 1.7K |
| 2023 | $1.5K | $432.33 | 3.47x | $1.1K | $689.2K | 2.9K | 2.2K |
| 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 | 4.9K | $1.2M | $240.70 | 4.14x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.8K | $871.3K | $226.48 | 4.40x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.0K | $464.6K | $464.64 | 3.23x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 77 | $261.4K | $3.4K | 2.35x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $246.6K | $226.22 | 4.42x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $234.0K | $232.38 | 4.29x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 994 | $226.2K | $227.58 | 4.39x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 477 | $94.5K | $198.18 | 5.05x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 163 | $77.9K | $477.90 | 3.14x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 158 | $32.2K | $203.51 | 4.83x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 860 | $30.0K | $34.91 | 28.61x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 52 | $26.0K | $499.25 | 2.00x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 41 | $25.7K | $626.93 | 1.60x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 824 | $16.2K | $19.67 | 50.75x |
| 64640 | Destruction of peripheral nerve or branch | 129 | $10.2K | $79.28 | 12.58x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 481 | $9.8K | $20.43 | 48.94x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 40 | $4.8K | $118.90 | 8.41x |
| 64405 | Injection of anesthetic agent, greater occipital nerve | 90 | $2.3K | $25.17 | 39.32x |
| 20553 | Injection of trigger points, 3 or more muscles | 31 | $709.92 | $22.90 | 43.67x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. 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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