This provider's $14.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.34x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 73% from 2014 to 2023.
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 | $9.4K | $766.12 | 12.27x | $8.6K | $1.1M | 1.8K | 1.8K |
| 2015 | $9.5K | $805.84 | 11.74x | $8.7K | $1.2M | 1.9K | 1.9K |
| 2016 | $9.4K | $760.89 | 12.35x | $8.6K | $1.3M | 2.1K | 2.0K |
| 2017 | $9.4K | $751.70 | 12.51x | $8.7K | $1.3M | 2.0K | 2.0K |
| 2018 | $9.3K | $797.89 | 11.70x | $8.5K | $1.3M | 1.9K | 1.9K |
| 2019 | $10.7K | $873.19 | 12.25x | $9.8K | $1.4M | 2.0K | 2.0K |
| 2020 | $11.6K | $907.08 | 12.81x | $10.7K | $1.5M | 2.2K | 2.2K |
| 2021 | $12.0K | $964.74 | 12.46x | $11.1K | $1.7M | 2.5K | 2.4K |
| 2022 | $12.0K | $978.70 | 12.29x | $11.0K | $1.7M | 2.5K | 2.5K |
| 2023 | $12.6K | $1.1K | 11.50x | $11.5K | $1.9M | 2.6K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.5K | $1.6M | $460.97 | 10.74x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 492 | $1.2M | $2.4K | 8.88x |
| 49505 | Repair of groin hernia patient age 5 years or older | 799 | $954.9K | $1.2K | 10.88x |
| 29880 | Removal of both knee cartilages using an endoscope | 686 | $811.4K | $1.2K | 13.62x |
| 29881 | Removal of one knee cartilage using an endoscope | 596 | $704.3K | $1.2K | 13.32x |
| 64721 | Release and/or relocation of median nerve of hand | 859 | $601.3K | $700.01 | 11.43x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.1K | $601.2K | $283.04 | 17.36x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.4K | $580.5K | $413.47 | 10.95x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 422 | $514.2K | $1.2K | 9.85x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.2K | $504.7K | $424.51 | 10.85x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 228 | $501.7K | $2.2K | 9.55x |
| 47562 | Removal of gallbladder using an endoscope | 250 | $499.8K | $2.0K | 9.45x |
| 45380 | Biopsy of large bowel using an endoscope | 1.4K | $483.5K | $337.61 | 14.63x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 619 | $471.8K | $762.13 | 22.02x |
| 19301 | Partial removal of breast | 546 | $378.7K | $693.55 | 14.42x |
| 38500 | Biopsy or removal of lymph nodes, open procedure | 351 | $347.3K | $989.50 | 10.11x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 877 | $290.4K | $331.15 | 14.68x |
| 49560 | Repair of incisional or abdominal hernia | 211 | $268.4K | $1.3K | 10.22x |
| 43249 | Balloon dilation of esophagus using an endoscope | 416 | $265.5K | $638.13 | 10.97x |
| 26055 | Incision of tendon covering | 420 | $230.9K | $549.73 | 14.55x |
This provider submits charges 12.34 times higher than what Medicare actually pays.
A markup ratio of 12.34x means for every $100 Medicare pays, this provider initially charges $1234. 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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