This provider's $23.1M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.94x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 75% in 2015
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 | $9.5K | $950.50 | 9.96x | $8.5K | $1.7M | 1.9K | 1.6K |
| 2015 | $10.2K | $1.2K | 8.51x | $9.0K | $2.9M | 2.6K | 2.1K |
| 2016 | $10.7K | $1.3K | 8.49x | $9.4K | $3.1M | 2.4K | 2.0K |
| 2017 | $10.0K | $1.2K | 8.37x | $8.8K | $3.5M | 2.8K | 2.4K |
| 2018 | $11.3K | $1.2K | 9.06x | $10.1K | $3.3M | 4.0K | 3.6K |
| 2019 | $12.6K | $1.3K | 9.77x | $11.3K | $2.4M | 3.2K | 3.0K |
| 2020 | $14.8K | $1.7K | 8.81x | $13.1K | $1.9M | 1.6K | 1.4K |
| 2021 | $15.3K | $1.8K | 8.41x | $13.5K | $1.9M | 1.7K | 1.5K |
| 2022 | $9.9K | $1.1K | 8.78x | $8.8K | $1.3M | 1.6K | 1.4K |
| 2023 | $9.4K | $1.2K | 7.89x | $8.2K | $1.1M | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 437 | $7.2M | $16.5K | 3.96x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 702 | $2.3M | $3.2K | 7.12x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 212 | $2.1M | $10.0K | 4.66x |
| 66984 | Removal of cataract with insertion of lens | 1.7K | $1.3M | $735.81 | 17.19x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.0K | $785.7K | $392.87 | 9.15x |
| 50590 | Shock wave crushing of kidney stones | 613 | $705.8K | $1.2K | 14.04x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 69 | $553.5K | $8.0K | 7.86x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 796 | $476.9K | $599.07 | 11.31x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 527 | $424.8K | $806.06 | 12.39x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 413 | $401.6K | $972.30 | 14.18x |
| 45380 | Biopsy of large bowel using an endoscope | 1.3K | $387.4K | $293.96 | 9.33x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.4K | $340.4K | $240.41 | 12.15x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 33 | $335.0K | $10.2K | 6.84x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $307.8K | $266.23 | 17.62x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $253.3K | $232.38 | 16.45x |
| 47562 | Removal of gallbladder using an endoscope | 162 | $250.1K | $1.5K | 14.34x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 94 | $222.2K | $2.4K | 7.43x |
| 49505 | Repair of groin hernia patient age 5 years or older | 205 | $215.3K | $1.1K | 11.96x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 924 | $214.1K | $231.75 | 23.44x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 349 | $201.2K | $576.48 | 20.18x |
This provider submits charges 8.94 times higher than what Medicare actually pays.
A markup ratio of 8.94x means for every $100 Medicare pays, this provider initially charges $894. 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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