This provider's $26.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 254% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 54% in 2016
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 | $908.89 | $243.50 | 3.73x | $665.39 | $1.1M | 4.4K | 12 |
| 2015 | $1.5K | $410.71 | 3.56x | $1.1K | $1.4M | 3.3K | 11 |
| 2016 | $1.8K | $585.09 | 3.04x | $1.2K | $2.1M | 3.6K | 11 |
| 2017 | $2.2K | $848.42 | 2.57x | $1.3K | $3.1M | 3.6K | 11 |
| 2018 | $2.1K | $839.71 | 2.53x | $1.3K | $3.0M | 3.6K | 13 |
| 2019 | $2.1K | $851.25 | 2.52x | $1.3K | $3.6M | 4.2K | 12 |
| 2020 | $1.7K | $596.70 | 2.87x | $1.1K | $2.1M | 3.5K | 12 |
| 2021 | $2.5K | $646.20 | 3.87x | $1.9K | $2.6M | 4.1K | 14 |
| 2022 | $7.4K | $835.99 | 8.84x | $6.6K | $3.6M | 4.3K | 14 |
| 2023 | $7.6K | $846.23 | 9.00x | $6.8K | $3.8M | 4.5K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 454 | $8.1M | $17.7K | 1.97x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.8K | $6.1M | $3.5K | 2.63x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 21.2K | $5.3M | $251.39 | 8.49x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 4.9K | $1.3M | $257.42 | 9.18x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.8K | $972.6K | $534.09 | 5.94x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 95 | $925.3K | $9.7K | 1.56x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 217 | $753.6K | $3.5K | 5.65x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 81 | $615.6K | $7.6K | 3.20x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.8K | $599.8K | $212.11 | 10.71x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 120 | $465.3K | $3.9K | 3.06x |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 63 | $362.4K | $5.8K | 2.59x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 1.4K | $341.2K | $239.96 | 14.97x |
| 62310 | Injections of substances into upper or middle spine | 527 | $144.3K | $273.78 | 4.02x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 438 | $106.1K | $242.14 | 15.20x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 333 | $94.7K | $284.40 | 7.29x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 50 | $75.6K | $1.5K | 2.95x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 77 | $42.7K | $554.51 | 13.35x |
| 64640 | Destruction of peripheral nerve or branch | 646 | $29.3K | $45.35 | 24.30x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 1.4K | $27.8K | $19.87 | 3.02x |
| 20610 | Aspiration and/or injection of fluid from large joint | 486 | $9.7K | $19.91 | 145.32x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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