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Methodology•Download Data
  1. Home
  2. Providers
  3. Sienna Heights Surgery Center,llc
🔪
Organization

Sienna Heights Surgery Center,llc

NPI: 1922496868
Henderson, NV
9 years of data
Ambulatory Surgical Center
$20.9M
Total Payments
3.7K
Beneficiaries
4.5K
Services
4.27x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$20.9M
Specialty median$657.1K

📋 Key Findings

1Billed $20.9M over 9 years
24.27x markup ratio (above median)
398th percentile in Ambulatory Surgical Center by payments
4Payments surged 3343% in 2016
519 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $20.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 1062% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 3343% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$3.7K$1.8K2.11x$2.0K$56.0K7867
2016$13.8K$2.6K5.28x$11.2K$1.9M900670
2017$16.0K$3.3K4.87x$12.7K$4.3M795683
2018$19.2K$3.8K5.04x$15.4K$4.1M753641
2019$20.4K$3.6K5.74x$16.9K$3.7M689597
2020$21.1K$5.2K4.06x$15.9K$2.7M441378
2021$18.6K$5.3K3.49x$13.2K$2.2M390323
2022$11.5K$5.9K1.95x$5.6K$1.3M232204
2023$10.2K$4.5K2.29x$5.8K$650.3K189151

Top Procedures (20)

63685Insertion of spinal neurostimulator pulse generator or receiver
$11.7M
590 services$19.8K/svc2.45x markup
63655Implantation of spinal neurostimulator electrodes⚠ 3.4x markup
$5.2M
392 services$13.3K/svc3.38x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skin⚠ 9.4x markup
$3.0M
773 services$3.8K/svc9.36x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 15.6x markup
$329.2K
1.3K services$244.37/svc15.63x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance⚠ 13.4x markup
$160.2K
245 services$654.02/svc13.45x markup
63047Partial removal of middle spine bone with release of spinal cord and/or nerves⚠ 14.3x markup
$130.2K
57 services$2.3K/svc14.26x markup
63688Removal or revision of neurostimulator pulse generator or receiver⚠ 9.2x markup
$86.6K
61 services$1.4K/svc9.15x markup
62321Injection of substance into spinal canal of upper or middle back using imaging guidance⚠ 19.1x markup
$80.6K
310 services$260.10/svc19.10x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 15.6x markup
$71.0K
226 services$314.21/svc15.59x markup
66984Removal of cataract with insertion of lens⚠ 13.6x markup
$48.6K
60 services$809.71/svc13.59x markup
64721Release and/or relocation of median nerve of hand⚠ 14.2x markup
$41.8K
64 services$653.02/svc14.20x markup
62310Injections of substances into upper or middle spine⚠ 10.4x markup
$23.6K
84 services$281.53/svc10.42x markup
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance⚠ 14.3x markup
$21.5K
83 services$259.30/svc14.30x markup
15823Removal of excessive skin and fat of upper eyelid⚠ 15.4x markup
$14.9K
29 services$515.26/svc15.41x markup
29848Release of wrist ligament using an endoscope⚠ 13.7x markup
$13.5K
21 services$643.09/svc13.65x markup
26055Incision of tendon covering⚠ 18.8x markup
$11.1K
20 services$557.36/svc18.76x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance⚠ 13.9x markup
$10.1K
42 services$240.80/svc13.89x markup
64490Injections of upper or middle spine facet joint using imaging guidance⚠ 17.5x markup
$5.2K
18 services$291.36/svc17.52x markup
62311Injections of substances into lower or sacral spine⚠ 11.3x markup
$4.5K
16 services$283.22/svc11.30x markup
20610Aspiration and/or injection of large joint or joint capsule⚠ 66.9x markup
$649.31
29 services$22.39/svc66.93x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator pulse generator or receiver590$11.7M$19.8K2.45x
63655Implantation of spinal neurostimulator electrodes392$5.2M$13.3K3.38x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin773$3.0M$3.8K9.36x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance1.3K$329.2K$244.3715.63x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance245$160.2K$654.0213.45x
63047Partial removal of middle spine bone with release of spinal cord and/or nerves57$130.2K$2.3K14.26x
63688Removal or revision of neurostimulator pulse generator or receiver61$86.6K$1.4K9.15x
62321Injection of substance into spinal canal of upper or middle back using imaging guidance310$80.6K$260.1019.10x
64493Injections of lower or sacral spine facet joint using imaging guidance226$71.0K$314.2115.59x
66984Removal of cataract with insertion of lens60$48.6K$809.7113.59x
64721Release and/or relocation of median nerve of hand64$41.8K$653.0214.20x
62310Injections of substances into upper or middle spine84$23.6K$281.5310.42x
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance83$21.5K$259.3014.30x
15823Removal of excessive skin and fat of upper eyelid29$14.9K$515.2615.41x
29848Release of wrist ligament using an endoscope21$13.5K$643.0913.65x
26055Incision of tendon covering20$11.1K$557.3618.76x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance42$10.1K$240.8013.89x
64490Injections of upper or middle spine facet joint using imaging guidance18$5.2K$291.3617.52x
62311Injections of substances into lower or sacral spine16$4.5K$283.2211.30x
20610Aspiration and/or injection of large joint or joint capsule29$649.31$22.3966.93x

Markup Analysis

Charge-to-Payment Ratio

4.27x

This provider submits charges 4.27 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.27x means for every $100 Medicare pays, this provider initially charges $427. This is higher than the national average.

Location

Henderson, NV

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data