This provider's $30.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.91x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 108% from 2014 to 2023.
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 | $6.1K | $417.50 | 14.68x | $5.7K | $2.1M | 4.9K | 30 |
| 2015 | $6.8K | $388.46 | 17.50x | $6.4K | $1.9M | 4.9K | 27 |
| 2016 | $8.1K | $448.83 | 18.00x | $7.6K | $2.5M | 5.6K | 32 |
| 2017 | $8.4K | $554.91 | 15.18x | $7.9K | $3.0M | 5.4K | 32 |
| 2018 | $7.9K | $690.95 | 11.42x | $7.2K | $3.6M | 5.2K | 34 |
| 2019 | $8.0K | $669.17 | 11.92x | $7.3K | $3.1M | 4.7K | 33 |
| 2020 | $7.7K | $623.61 | 12.35x | $7.1K | $2.9M | 4.7K | 29 |
| 2021 | $8.0K | $670.48 | 11.89x | $7.3K | $3.3M | 4.9K | 32 |
| 2022 | $8.5K | $823.25 | 10.28x | $7.6K | $4.2M | 5.1K | 32 |
| 2023 | $9.2K | $823.01 | 11.14x | $8.3K | $4.3M | 5.2K | 33 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.6K | $5.9M | $3.7K | 3.96x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 246 | $4.7M | $18.9K | 2.58x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 14.2K | $3.8M | $263.54 | 23.19x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 6.2K | $1.6M | $252.72 | 22.37x |
| 22869 | Placement of stabilizing device to lower spine level | 169 | $1.5M | $9.0K | 2.88x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 5.8K | $1.2M | $216.83 | 27.89x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.9K | $1.1M | $601.83 | 11.48x |
| 64721 | Release and/or relocation of hand nerve | 1.5K | $814.9K | $555.50 | 21.16x |
| 67904 | Repair of tendon of upper eyelid | 1.4K | $720.0K | $519.83 | 17.06x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 298 | $628.7K | $2.1K | 9.17x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.1K | $547.8K | $478.87 | 14.73x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.8K | $500.9K | $274.90 | 22.24x |
| 23430 | Anchoring of biceps tendon | 205 | $455.6K | $2.2K | 5.42x |
| 26055 | Incision of tendon covering of finger | 989 | $430.2K | $435.03 | 24.39x |
| 29880 | Removal of both knee cartilages using an endoscope | 405 | $420.9K | $1.0K | 17.14x |
| 28285 | Correction of toe joint deformity | 687 | $395.9K | $576.34 | 18.31x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 430 | $380.1K | $884.01 | 13.87x |
| 25447 | Removal of bone joints between wrist and fingers | 391 | $356.0K | $910.57 | 17.62x |
| 29881 | Removal of knee cartilage using an endoscope | 327 | $338.8K | $1.0K | 16.39x |
| 67900 | Repair of brow paralysis | 762 | $302.9K | $397.55 | 19.27x |
This provider submits charges 12.91 times higher than what Medicare actually pays.
A markup ratio of 12.91x means for every $100 Medicare pays, this provider initially charges $1291. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ Clear |
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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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