This provider's $5.3M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 111% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 133% in 2022
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 | $17.4K | $10.6K | 1.65x | $6.8K | $457.7K | 54 | 54 |
| 2019 | $6.7K | $3.6K | 1.87x | $3.1K | $952.4K | 452 | 436 |
| 2020 | $9.4K | $5.1K | 1.83x | $4.2K | $1.3M | 526 | 486 |
| 2021 | $4.4K | $2.1K | 2.05x | $2.2K | $494.8K | 370 | 361 |
| 2022 | $6.9K | $3.3K | 2.08x | $3.6K | $1.2M | 698 | 646 |
| 2023 | $6.9K | $3.4K | 2.02x | $3.5K | $964.2K | 428 | 417 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 57 | $1.4M | $24.2K | 1.65x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 144 | $1.0M | $7.2K | 1.59x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 120 | $742.1K | $6.2K | 2.43x |
| 33264 | Removal and replacement of defibrillator pulse generator | 29 | $712.2K | $24.6K | 1.63x |
| 33285 | Insertion of heart rhythm monitor under skin | 93 | $574.6K | $6.2K | 1.62x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 405 | $188.2K | $464.76 | 3.10x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker | 11 | $122.3K | $11.1K | 1.71x |
| 36589 | Removal of central venous catheter for infusion | 424 | $114.4K | $269.81 | 2.78x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 301 | $79.2K | $263.15 | 5.86x |
| 45380 | Biopsy of large bowel using an endoscope | 196 | $73.6K | $375.69 | 4.13x |
| 33222 | Relocation of pacemaker generator skin pocket | 151 | $60.4K | $399.86 | 3.01x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 128 | $55.0K | $429.57 | 3.61x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 111 | $42.7K | $384.56 | 9.90x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 93 | $27.1K | $291.10 | 13.08x |
| 33223 | Relocation of defibrillator device skin pocket | 60 | $23.2K | $385.91 | 3.89x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 53 | $20.9K | $393.56 | 3.94x |
| 33215 | Repositioning of implanted pacemaker or defibrillator device | 12 | $7.4K | $613.26 | 8.15x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 98 | $7.3K | $74.72 | 7.42x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 15 | $5.0K | $333.84 | 11.10x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 16 | $4.7K | $292.19 | 13.01x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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