This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.57x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 4152% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 544% in 2015
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 | $6.3K | $480.00 | 13.14x | $5.8K | $29.8K | 69 | 65 |
| 2015 | $6.6K | $509.72 | 12.86x | $6.0K | $191.8K | 432 | 337 |
| 2016 | $7.6K | $631.11 | 12.02x | $7.0K | $364.2K | 717 | 610 |
| 2017 | $6.0K | $590.17 | 10.13x | $5.4K | $655.1K | 1.5K | 1.4K |
| 2018 | $4.3K | $547.41 | 7.92x | $3.8K | $735.1K | 1.8K | 1.7K |
| 2019 | $10.2K | $1.3K | 7.96x | $8.9K | $1.0M | 1.8K | 1.7K |
| 2020 | $12.0K | $1.4K | 8.52x | $10.6K | $1.1M | 1.3K | 1.3K |
| 2021 | $12.8K | $1.6K | 7.85x | $11.2K | $1.3M | 1.6K | 1.6K |
| 2022 | $12.5K | $1.5K | 8.10x | $11.0K | $1.4M | 1.8K | 1.7K |
| 2023 | $10.8K | $1.4K | 7.67x | $9.4K | $1.3M | 1.7K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27446 | Repair of knee joint | 292 | $2.0M | $6.9K | 7.56x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.0K | $759.2K | $255.61 | 9.36x |
| 66984 | Removal of cataract with insertion of lens | 869 | $716.8K | $824.87 | 8.92x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 1.5K | $653.8K | $445.37 | 7.96x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 66 | $638.9K | $9.7K | 9.00x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.1K | $506.0K | $451.01 | 8.08x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 46 | $376.4K | $8.2K | 7.50x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.1K | $300.1K | $272.58 | 9.89x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 920 | $267.3K | $290.53 | 10.79x |
| 45380 | Biopsy of large bowel using an endoscope | 618 | $251.5K | $406.99 | 9.51x |
| 29881 | Removal of one knee cartilage using an endoscope | 222 | $241.9K | $1.1K | 7.60x |
| 29880 | Removal of both knee cartilages using an endoscope | 208 | $231.3K | $1.1K | 7.77x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 836 | $221.8K | $265.37 | 8.95x |
| 64721 | Release and/or relocation of median nerve of hand | 142 | $89.6K | $630.85 | 9.27x |
| 0191T | Internal insertion of eye fluid drainage device | 45 | $89.0K | $2.0K | 7.32x |
| 62311 | Injections of substances into lower or sacral spine | 291 | $86.7K | $298.07 | 12.55x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 285 | $77.1K | $270.54 | 10.74x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 255 | $70.1K | $275.00 | 8.37x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 175 | $62.1K | $354.94 | 8.20x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 31 | $53.7K | $1.7K | 11.33x |
This provider submits charges 8.57 times higher than what Medicare actually pays.
A markup ratio of 8.57x means for every $100 Medicare pays, this provider initially charges $857. 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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