This provider's $15.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.99x 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 | $5.0K | $708.59 | 7.03x | $4.3K | $1.3M | 4.0K | 2.6K |
| 2015 | $4.8K | $658.76 | 7.35x | $4.2K | $1.3M | 4.3K | 2.8K |
| 2016 | $5.9K | $1.6K | 3.75x | $4.3K | $1.8M | 4.1K | 2.6K |
| 2017 | $5.8K | $1.7K | 3.38x | $4.1K | $2.0M | 4.2K | 2.7K |
| 2018 | $5.6K | $1.6K | 3.37x | $3.9K | $1.7M | 4.1K | 2.7K |
| 2019 | $5.9K | $1.6K | 3.78x | $4.3K | $1.5M | 3.7K | 2.4K |
| 2020 | $6.3K | $1.6K | 4.02x | $4.7K | $1.3M | 3.1K | 2.0K |
| 2021 | $6.9K | $1.8K | 3.82x | $5.1K | $1.3M | 3.3K | 2.1K |
| 2022 | $6.9K | $1.7K | 3.98x | $5.1K | $1.2M | 2.9K | 1.9K |
| 2023 | $6.9K | $1.8K | 3.74x | $5.0K | $1.5M | 2.9K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 6.2K | $3.4M | $549.30 | 6.65x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 186 | $2.2M | $11.9K | 2.64x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.8K | $1.4M | $245.28 | 8.06x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 434 | $1.3M | $3.0K | 6.31x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 5.2K | $1.3M | $240.40 | 8.88x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 58 | $937.1K | $16.2K | 1.30x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 4.4K | $922.4K | $207.51 | 11.81x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.5K | $835.9K | $547.04 | 6.70x |
| 62311 | Injections of substances into lower or sacral spine | 3.0K | $707.8K | $239.93 | 9.76x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.4K | $491.0K | $206.99 | 9.54x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.7K | $428.4K | $249.36 | 8.56x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 2.0K | $419.8K | $207.72 | 11.79x |
| 62310 | Injections of substances into upper or middle spine | 1.0K | $248.0K | $240.54 | 9.71x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 355 | $201.5K | $567.60 | 7.26x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 42 | $99.0K | $2.4K | 6.79x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 24 | $59.2K | $2.5K | 6.49x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 14 | $33.1K | $2.4K | 6.76x |
| 64451 | Injection of anesthetic agent and/or steroid into nerves supplying joint between spine and pelvis using imaging guidance | 141 | $28.6K | $202.61 | 20.34x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 12 | $28.4K | $2.4K | 6.76x |
| 64640 | Destruction of peripheral nerve or branch | 819 | $28.1K | $34.34 | 40.02x |
This provider submits charges 6.99 times higher than what Medicare actually pays.
A markup ratio of 6.99x means for every $100 Medicare pays, this provider initially charges $699. 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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