This provider's $13.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 218% 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 | $1.7K | $554.42 | 3.11x | $1.2K | $658.9K | 1.8K | 1.3K |
| 2015 | $1.6K | $485.99 | 3.37x | $1.2K | $955.2K | 2.8K | 2.0K |
| 2016 | $2.0K | $658.08 | 2.97x | $1.3K | $1.1M | 3.4K | 2.3K |
| 2017 | $2.1K | $637.31 | 3.33x | $1.5K | $965.1K | 3.2K | 2.2K |
| 2018 | $3.8K | $1.4K | 2.79x | $2.5K | $1.3M | 3.0K | 2.1K |
| 2019 | $3.7K | $1.4K | 2.70x | $2.4K | $1.3M | 3.0K | 2.0K |
| 2020 | $4.8K | $1.8K | 2.61x | $2.9K | $1.5M | 2.3K | 1.7K |
| 2021 | $4.1K | $1.5K | 2.72x | $2.6K | $1.7M | 2.9K | 2.1K |
| 2022 | $4.6K | $1.8K | 2.64x | $2.9K | $1.7M | 2.8K | 2.1K |
| 2023 | $4.8K | $1.8K | 2.65x | $3.0K | $2.1M | 3.1K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 96 | $1.8M | $18.3K | 1.91x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.1K | $1.7M | $273.28 | 4.76x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 6.5K | $1.5M | $227.46 | 5.72x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 552 | $1.0M | $1.9K | 2.31x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 265 | $919.7K | $3.5K | 2.00x |
| 62311 | Injections of substances into lower or sacral spine | 3.4K | $898.4K | $265.25 | 4.90x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.4K | $687.9K | $493.83 | 3.36x |
| 27447 | Repair of knee joint | 95 | $639.2K | $6.7K | 2.68x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $526.4K | $248.06 | 5.24x |
| 29848 | Release of wrist ligament using an endoscope | 662 | $404.0K | $610.27 | 4.01x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 118 | $375.8K | $3.2K | 1.95x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 1.2K | $319.4K | $264.16 | 4.92x |
| 29881 | Removal of one knee cartilage using an endoscope | 311 | $300.9K | $967.59 | 3.12x |
| 29880 | Removal of both knee cartilages using an endoscope | 248 | $238.2K | $960.44 | 3.16x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 61 | $211.9K | $3.5K | 2.38x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 954 | $198.7K | $208.25 | 6.24x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 749 | $195.2K | $260.56 | 4.99x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 269 | $188.8K | $701.79 | 5.79x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 350 | $180.4K | $515.41 | 3.31x |
| 26055 | Incision of tendon covering | 384 | $161.3K | $420.03 | 3.92x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. This is higher than the national average.
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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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