This provider's $8.2M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.87x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 740% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 251% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $6.4K | $410.57 | 15.50x | $6.0K | $153.8K | 598 | 518 |
| 2015 | $8.5K | $555.55 | 15.28x | $7.9K | $298.5K | 697 | 614 |
| 2016 | $9.6K | $597.84 | 15.98x | $9.0K | $378.2K | 781 | 681 |
| 2017 | $9.8K | $614.33 | 15.90x | $9.2K | $400.7K | 699 | 625 |
| 2018 | $9.9K | $614.94 | 16.04x | $9.2K | $250.6K | 550 | 503 |
| 2019 | $13.0K | $1.7K | 7.77x | $11.3K | $880.5K | 584 | 512 |
| 2020 | $15.0K | $2.3K | 6.54x | $12.7K | $1.6M | 405 | 333 |
| 2021 | $22.9K | $2.2K | 10.25x | $20.7K | $1.3M | 407 | 338 |
| 2022 | $21.0K | $2.8K | 7.50x | $18.2K | $1.7M | 578 | 448 |
| 2023 | $24.8K | $2.7K | 9.23x | $22.1K | $1.3M | 491 | 404 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 202 | $4.0M | $19.6K | 4.68x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 508 | $1.9M | $3.7K | 8.21x |
| 36832 | Revision of dialysis graft, open procedure | 130 | $217.2K | $1.7K | 13.84x |
| 37607 | Tying or banding of a passage between an artery and vein | 290 | $169.7K | $585.26 | 24.06x |
| 37246 | Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation | 86 | $163.9K | $1.9K | 16.51x |
| 22867 | Placement of device to stabilize or reduce pressure in lower spine in 1 disc space | 13 | $137.2K | $10.6K | 9.29x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 204 | $127.9K | $626.74 | 12.84x |
| 26121 | Removal of tissue of palm | 123 | $121.5K | $987.70 | 13.31x |
| 36819 | Relocation of arm vein with connection to arm artery, open procedure | 83 | $113.7K | $1.4K | 14.88x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 419 | $110.4K | $263.43 | 14.05x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 555 | $99.0K | $178.32 | 16.30x |
| 36820 | Relocation of arm vein with connection to arm artery, open procedure | 98 | $98.1K | $1.0K | 19.73x |
| 29880 | Removal of both knee cartilages using an endoscope | 95 | $97.1K | $1.0K | 12.67x |
| 63688 | Removal or revision of neurostimulator pulse generator or receiver | 50 | $80.7K | $1.6K | 15.83x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 123 | $79.0K | $642.10 | 12.41x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 344 | $64.1K | $186.40 | 15.84x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 274 | $47.9K | $174.84 | 16.94x |
| 47562 | Removal of gallbladder using an endoscope | 26 | $47.7K | $1.8K | 13.45x |
| 63663 | Revision of spinal neurostimulator electrode array using fluoroscopic guidance | 11 | $46.5K | $4.2K | 11.27x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 15 | $45.9K | $3.1K | 21.83x |
This provider submits charges 8.87 times higher than what Medicare actually pays.
A markup ratio of 8.87x means for every $100 Medicare pays, this provider initially charges $887. 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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