This provider's $27.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 183% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 231% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $6.9K | $2.6K | 2.63x | $4.3K | $1.4M | 516 | 7 |
| 2018 | $13.1K | $5.6K | 2.33x | $7.5K | $4.5M | 796 | 8 |
| 2019 | $14.0K | $6.5K | 2.16x | $7.5K | $3.9M | 595 | 5 |
| 2020 | $14.1K | $6.5K | 2.16x | $7.6K | $5.3M | 813 | 9 |
| 2021 | $9.0K | $3.9K | 2.29x | $5.1K | $5.1M | 1.3K | 10 |
| 2022 | $6.1K | $3.0K | 2.03x | $3.1K | $3.6M | 1.2K | 13 |
| 2023 | $4.7K | $2.7K | 1.78x | $2.1K | $3.8M | 1.4K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 508 | $9.8M | $19.2K | 1.97x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.7K | $6.3M | $3.7K | 3.22x |
| 22869 | Placement of stabilizing device to lower spine level | 480 | $4.5M | $9.3K | 1.73x |
| 27279 | Fusion of pelvic joint using imaging guidance | 198 | $2.2M | $11.0K | 1.42x |
| 22612 | Fusion of spine in lower back | 169 | $1.5M | $8.8K | 1.95x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 251 | $825.6K | $3.3K | 1.59x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 74 | $585.9K | $7.9K | 1.52x |
| 22867 | Placement of device to stabilize or reduce pressure in lower spine in 1 disc space | 44 | $564.3K | $12.8K | 1.36x |
| 63663 | Revision and replacement of spinal neurostimulator electrodes, on the skin | 82 | $299.2K | $3.6K | 1.36x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 444 | $290.2K | $653.54 | 2.40x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 937 | $290.2K | $309.67 | 3.60x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 451 | $135.7K | $300.83 | 3.11x |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 369 | $128.8K | $349.02 | 1.49x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 511 | $121.7K | $238.08 | 1.93x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 342 | $89.6K | $261.97 | 3.92x |
| 62380 | Decompression of spinal cord and/or nerve root in lower back using endoscope | 12 | $26.6K | $2.2K | 2.93x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 54 | $15.2K | $281.00 | 2.67x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 50 | $14.1K | $282.60 | 4.33x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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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