This provider's $8.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.91x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $6.5K | $594.39 | 10.94x | $5.9K | $804.5K | 1.4K | 1.2K |
| 2015 | $6.1K | $552.89 | 11.12x | $5.6K | $954.0K | 2.0K | 1.7K |
| 2016 | $6.0K | $532.83 | 11.17x | $5.4K | $1.0M | 2.1K | 1.9K |
| 2017 | $5.9K | $571.25 | 10.30x | $5.3K | $911.8K | 2.0K | 1.7K |
| 2018 | $5.4K | $581.31 | 9.36x | $4.9K | $768.3K | 1.5K | 1.2K |
| 2019 | $6.4K | $821.77 | 7.77x | $5.6K | $694.4K | 867 | 730 |
| 2020 | $6.4K | $834.07 | 7.62x | $5.5K | $543.6K | 644 | 537 |
| 2021 | $4.4K | $1.0K | 4.31x | $3.4K | $772.1K | 811 | 662 |
| 2022 | $15.6K | $1.2K | 12.90x | $14.4K | $961.7K | 953 | 748 |
| 2023 | $14.1K | $1.0K | 13.87x | $13.1K | $991.0K | 1.0K | 778 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.7K | $4.2M | $892.40 | 11.28x |
| 19301 | Partial removal of breast | 791 | $580.5K | $733.84 | 17.31x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 481 | $436.0K | $906.35 | 8.78x |
| 66982 | Removal of cataract with insertion of lens | 384 | $334.8K | $871.89 | 7.55x |
| 0191T | Internal insertion of eye fluid drainage device | 81 | $196.2K | $2.4K | 2.73x |
| 19125 | Removal of breast growth, open procedure | 197 | $169.6K | $860.98 | 8.93x |
| 29880 | Removal of both knee cartilages using an endoscope | 123 | $132.8K | $1.1K | 9.10x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 156 | $128.9K | $826.56 | 16.27x |
| 67500 | Injection of medication into cavity behind eye | 1.7K | $117.7K | $67.44 | 54.72x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 216 | $107.0K | $495.54 | 9.53x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 36 | $106.6K | $3.0K | 12.06x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 83 | $92.4K | $1.1K | 9.74x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 78 | $92.2K | $1.2K | 7.11x |
| 67043 | Removal of membrane from the retina, pars plana approach | 58 | $90.4K | $1.6K | 7.71x |
| 19303 | Total removal of breast | 43 | $87.6K | $2.0K | 9.15x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 343 | $85.8K | $250.21 | 19.01x |
| 38500 | Biopsy or removal of lymph nodes, open procedure | 84 | $82.1K | $977.06 | 12.02x |
| 29870 | Diagnostic examination of knee using an endoscope | 153 | $81.8K | $534.90 | 8.31x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 142 | $74.9K | $527.35 | 7.59x |
| 67041 | Removal of membrane from the retina | 57 | $72.4K | $1.3K | 9.11x |
This provider submits charges 11.91 times higher than what Medicare actually pays.
A markup ratio of 11.91x means for every $100 Medicare pays, this provider initially charges $1191. 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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