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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Fresno Ambulatory Surgery Center, Inc.
๐Ÿ”ช
Organization

Fresno Ambulatory Surgery Center, Inc.

NPI: 1659822914
Fresno, CA
6 years of data
Ambulatory Surgical Center
$7.6M
Total Payments
3.8K
Beneficiaries
4.8K
Services
3.97x
Markup Ratio

Peer Comparison

96th
percentile in specialty
This provider$7.6M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $7.6M over 6 years
23.97x markup ratio (above median)
396th percentile in Ambulatory Surgical Center by payments
4Payments surged 559% in 2019
513 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 863% from 2018 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 559% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2018$4.3K$1.1K3.90x$3.2K$170.6K121111
2019$6.2K$1.6K3.74x$4.5K$1.1M770607
2020$7.5K$2.2K3.45x$5.3K$1.8M1.1K874
2021$9.0K$2.1K4.19x$6.8K$1.5M976801
2022$9.0K$2.4K3.66x$6.5K$1.4M853686
2023$7.6K$2.3K3.38x$5.4K$1.6M998752

Top Procedures (13)

36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretationโš  4.6x markup
$2.8M
1.7K services$1.7K/svc4.63x markup
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretationโš  3.4x markup
$2.0M
376 services$5.3K/svc3.41x markup
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretationโš  3.6x markup
$643.8K
170 services$3.8K/svc3.60x markup
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretationโš  3.4x markup
$562.9K
65 services$8.7K/svc3.41x markup
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretationโš  3.4x markup
$520.3K
1.2K services$444.71/svc3.37x markup
36581Replacement of central venous catheterโš  3.4x markup
$370.7K
301 services$1.2K/svc3.44x markup
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretationโš  5.0x markup
$305.4K
193 services$1.6K/svc5.00x markup
36558Insertion of central venous catheter for infusion, patient 5 years or olderโš  4.0x markup
$157.5K
151 services$1.0K/svc4.04x markup
36589Removal of central venous catheter for infusionโš  4.3x markup
$122.3K
516 services$237.02/svc4.32x markup
36595Mechanical removal of obstructive material from central venous catheterโš  3.2x markup
$76.8K
81 services$948.41/svc3.24x markup
36904Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretationโš  5.1x markup
$23.3K
15 services$1.6K/svc5.13x markup
J2997Injection, alteplase recombinant, 1 mgโš  3.6x markup
$3.4K
48 services$69.91/svc3.61x markup
75822Review by radiologist of both arms and legs veins of both arms or legs imageโš  3.8x markup
$2.7K
49 services$55.26/svc3.84x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation1.7K$2.8M$1.7K4.63x
36903Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation376$2.0M$5.3K3.41x
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation170$643.8K$3.8K3.60x
36906Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation65$562.9K$8.7K3.41x
36901Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation1.2K$520.3K$444.713.37x
36581Replacement of central venous catheter301$370.7K$1.2K3.44x
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation193$305.4K$1.6K5.00x
36558Insertion of central venous catheter for infusion, patient 5 years or older151$157.5K$1.0K4.04x
36589Removal of central venous catheter for infusion516$122.3K$237.024.32x
36595Mechanical removal of obstructive material from central venous catheter81$76.8K$948.413.24x
36904Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation15$23.3K$1.6K5.13x
J2997Injection, alteplase recombinant, 1 mg48$3.4K$69.913.61x
75822Review by radiologist of both arms and legs veins of both arms or legs image49$2.7K$55.263.84x

Markup Analysis

Charge-to-Payment Ratio

3.97x

This provider submits charges 3.97 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. This is higher than the national average.

Location

Fresno, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in CA for peer comparison.

Fresno Ambulatory Surgery Center, Inc. (you)
$7.6M
Specialty Surgical Center, Llc
$49.2M
Santa Rosa Surgery Center L P
$41.3M
Peninsula Eye Surgery Center Llc
$37.0M
Fort Sutter Surgery Center A California Limited Partnership
$33.6M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Specialty Surgical Center, LlcBeverly Hills, CA$49.2Mโœ“ Clear
Santa Rosa Surgery Center L PSanta Rosa, CA$41.3Mโœ“ Clear
Peninsula Eye Surgery Center LlcMountain View, CA$37.0Mโœ“ Clear
Fort Sutter Surgery Center A California Limited PartnershipSacramento, CA$33.6Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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