This provider's $33.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 213% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $939.20 | $252.72 | 3.72x | $686.48 | $1.8M | 7.3K | 24 |
| 2015 | $3.3K | $854.53 | 3.88x | $2.5K | $1.8M | 2.1K | 23 |
| 2016 | $3.5K | $906.37 | 3.86x | $2.6K | $2.2M | 2.5K | 25 |
| 2017 | $3.3K | $839.67 | 3.96x | $2.5K | $2.5M | 3.0K | 26 |
| 2018 | $3.1K | $703.97 | 4.34x | $2.4K | $2.9M | 4.1K | 28 |
| 2019 | $2.3K | $511.66 | 4.45x | $1.8K | $3.7M | 7.2K | 37 |
| 2020 | $1.3K | $313.23 | 4.27x | $1.0K | $3.4M | 11.0K | 32 |
| 2021 | $1.9K | $443.10 | 4.32x | $1.5K | $4.3M | 9.6K | 37 |
| 2022 | $1.7K | $390.05 | 4.48x | $1.4K | $4.8M | 12.3K | 35 |
| 2023 | $1.5K | $341.87 | 4.41x | $1.2K | $5.7M | 16.8K | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 11.0K | $11.8M | $1.1K | 3.19x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 3.2K | $1.8M | $551.77 | 4.57x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 3.8K | $1.6M | $426.34 | 5.89x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 4.0K | $1.3M | $317.22 | 10.56x |
| 36561 | Insertion of central venous tube with port (5 years or older) | 645 | $908.9K | $1.4K | 3.54x |
| V2785 | Processing, preserving and transporting corneal tissue | 251 | $840.4K | $3.3K | 1.27x |
| 19301 | Partial removal of breast | 936 | $805.8K | $860.94 | 5.21x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 797 | $799.6K | $1.0K | 3.40x |
| 49650 | Repair of groin hernia using an endoscope | 343 | $739.1K | $2.2K | 3.74x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 9.1K | $729.4K | $80.00 | 8.61x |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 581 | $685.3K | $1.2K | 3.24x |
| 0191T | Internal insertion of eye fluid drainage device | 259 | $633.5K | $2.4K | 2.05x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 144 | $588.9K | $4.1K | 1.52x |
| 50590 | Shock wave crushing of kidney stones | 388 | $551.7K | $1.4K | 8.54x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 805 | $540.3K | $671.15 | 6.18x |
| 55875 | Insertion of needle or tube into prostate for radiation therapy | 203 | $474.7K | $2.3K | 5.07x |
| C2643 | Brachytherapy source, non-stranded, cesium-131, per source | 6.5K | $441.6K | $67.97 | 1.40x |
| 58558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | 336 | $428.4K | $1.3K | 4.24x |
| 65820 | Incision to improve eye fluid flow | 225 | $405.6K | $1.8K | 2.02x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 806 | $403.6K | $500.78 | 7.53x |
This provider submits charges 4.26 times higher than what Medicare actually pays.
A markup ratio of 4.26x means for every $100 Medicare pays, this provider initially charges $426. 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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