This provider's $4.1M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.01x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 150% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 150% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $650.17 | $89.50 | 7.26x | $560.67 | $1.2M | 13.1K | 4 |
| 2023 | $307.08 | $44.44 | 6.91x | $262.64 | $2.9M | 66.1K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 208 | $2.2M | $10.4K | 7.94x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 178 | $1.9M | $10.5K | 6.08x |
| C9088 | Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg | 78.8K | $43.7K | $0.55 | 2.54x |
| 27570 | Manipulation of knee joint under anesthesia | 33 | $26.4K | $800.62 | 5.20x |
| 29881 | Removal of knee cartilage using an endoscope | 12 | $18.4K | $1.5K | 5.04x |
This provider submits charges 7.01 times higher than what Medicare actually pays.
A markup ratio of 7.01x means for every $100 Medicare pays, this provider initially charges $701. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data