This provider's $4.4M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.01x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 591% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 700% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $2.4K | $263.13 | 9.12x | $2.1K | $55.6K | 220 | 144 |
| 2018 | $5.9K | $1.0K | 5.85x | $4.9K | $115.8K | 229 | 147 |
| 2019 | $30.3K | $7.1K | 4.25x | $23.2K | $926.5K | 117 | 110 |
| 2020 | $40.5K | $7.6K | 5.35x | $32.9K | $643.6K | 98 | 98 |
| 2021 | $48.8K | $9.4K | 5.18x | $39.4K | $1.0M | 116 | 116 |
| 2022 | $38.4K | $9.3K | 4.13x | $29.1K | $1.3M | 134 | 130 |
| 2023 | $35.4K | $6.9K | 5.12x | $28.5K | $384.5K | 45 | 45 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 80 | $1.5M | $19.0K | 2.51x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 120 | $1.0M | $8.5K | 5.39x |
| 63655 | Implantation of spinal neurostimulator electrodes | 51 | $689.1K | $13.5K | 3.89x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 45 | $470.7K | $10.5K | 5.08x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 106 | $390.2K | $3.7K | 10.82x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 65 | $84.0K | $1.3K | 19.85x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 12 | $76.1K | $6.3K | 6.86x |
| 33282 | Implantation patient-activated heart monitoring device | 11 | $58.1K | $5.3K | 4.94x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 57 | $35.9K | $630.13 | 8.05x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 157 | $34.9K | $222.37 | 7.87x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 70 | $20.3K | $289.66 | 8.49x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 71 | $18.0K | $254.12 | 8.82x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 71 | $12.4K | $175.33 | 13.09x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 29 | $6.2K | $212.07 | 8.25x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | $289.31 | $20.66 | 48.39x |
This provider submits charges 5.01 times higher than what Medicare actually pays.
A markup ratio of 5.01x means for every $100 Medicare pays, this provider initially charges $501. 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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