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.
Notable: Payments increased 3343% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $3.7K | $1.8K | 2.11x | $2.0K | $56.0K | 78 | 67 |
| 2016 | $13.8K | $2.6K | 5.28x | $11.2K | $1.9M | 900 | 670 |
| 2017 | $16.0K | $3.3K | 4.87x | $12.7K | $4.3M | 795 | 683 |
| 2018 | $19.2K | $3.8K | 5.04x | $15.4K | $4.1M | 753 | 641 |
| 2019 | $20.4K | $3.6K | 5.74x | $16.9K | $3.7M | 689 | 597 |
| 2020 | $21.1K | $5.2K | 4.06x | $15.9K | $2.7M | 441 | 378 |
| 2021 | $18.6K | $5.3K | 3.49x | $13.2K | $2.2M | 390 | 323 |
| 2022 | $11.5K | $5.9K | 1.95x | $5.6K | $1.3M | 232 | 204 |
| 2023 | $10.2K | $4.5K | 2.29x | $5.8K | $650.3K | 189 | 151 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 590 | $11.7M | $19.8K | 2.45x |
| 63655 | Implantation of spinal neurostimulator electrodes | 392 | $5.2M | $13.3K | 3.38x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 773 | $3.0M | $3.8K | 9.36x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $329.2K | $244.37 | 15.63x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 245 | $160.2K | $654.02 | 13.45x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 57 | $130.2K | $2.3K | 14.26x |
| 63688 | Removal or revision of neurostimulator pulse generator or receiver | 61 | $86.6K | $1.4K | 9.15x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 310 | $80.6K | $260.10 | 19.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 226 | $71.0K | $314.21 | 15.59x |
| 66984 | Removal of cataract with insertion of lens | 60 | $48.6K | $809.71 | 13.59x |
| 64721 | Release and/or relocation of median nerve of hand | 64 | $41.8K | $653.02 | 14.20x |
| 62310 | Injections of substances into upper or middle spine | 84 | $23.6K | $281.53 | 10.42x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 83 | $21.5K | $259.30 | 14.30x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 29 | $14.9K | $515.26 | 15.41x |
| 29848 | Release of wrist ligament using an endoscope | 21 | $13.5K | $643.09 | 13.65x |
| 26055 | Incision of tendon covering | 20 | $11.1K | $557.36 | 18.76x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 42 | $10.1K | $240.80 | 13.89x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 18 | $5.2K | $291.36 | 17.52x |
| 62311 | Injections of substances into lower or sacral spine | 16 | $4.5K | $283.22 | 11.30x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 29 | $649.31 | $22.39 | 66.93x |
This provider submits charges 4.27 times higher than what Medicare actually pays.
A markup ratio of 4.27x means for every $100 Medicare pays, this provider initially charges $427. 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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