This provider's $4.8M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $923.79 | $293.71 | 3.15x | $630.08 | $618.2K | 2.0K | 1.2K |
| 2015 | $923.91 | $277.51 | 3.33x | $646.40 | $384.5K | 1.5K | 923 |
| 2016 | $924.50 | $267.88 | 3.45x | $656.62 | $355.7K | 1.6K | 863 |
| 2017 | $869.23 | $210.42 | 4.13x | $658.81 | $439.9K | 2.2K | 1.3K |
| 2018 | $942.44 | $216.70 | 4.35x | $725.74 | $438.5K | 1.8K | 1.1K |
| 2019 | $874.09 | $237.50 | 3.68x | $636.59 | $418.8K | 1.6K | 940 |
| 2020 | $2.0K | $499.17 | 3.97x | $1.5K | $475.5K | 1.8K | 1.0K |
| 2021 | $5.8K | $1.4K | 4.22x | $4.4K | $638.5K | 1.4K | 882 |
| 2022 | $4.6K | $619.77 | 7.50x | $4.0K | $410.2K | 1.2K | 818 |
| 2023 | $5.8K | $737.16 | 7.85x | $5.0K | $591.0K | 1.1K | 726 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.7K | $979.8K | $566.67 | 2.83x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $722.5K | $240.37 | 4.66x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 139 | $435.0K | $3.1K | 6.27x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.7K | $415.0K | $245.55 | 4.89x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.8K | $392.7K | $212.39 | 3.67x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 466 | $261.1K | $560.35 | 3.35x |
| 62311 | Injections of substances into lower or sacral spine | 1.0K | $257.7K | $256.98 | 3.89x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 78 | $253.7K | $3.3K | 5.60x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.2K | $238.6K | $201.48 | 5.50x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 15 | $217.2K | $14.5K | 4.48x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 737 | $191.5K | $259.81 | 4.70x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 664 | $143.6K | $216.32 | 3.99x |
| 62310 | Injections of substances into upper or middle spine | 429 | $110.2K | $256.93 | 3.89x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 564 | $63.9K | $113.29 | 3.02x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.0K | $38.1K | $19.24 | 45.21x |
| 62322 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 111 | $21.3K | $191.58 | 3.58x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 255 | $7.6K | $29.75 | 33.62x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 25 | $5.9K | $236.05 | 4.24x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 13 | $5.3K | $408.66 | 8.90x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 43 | $4.5K | $104.58 | 5.67x |
This provider submits charges 4.68 times higher than what Medicare actually pays.
A markup ratio of 4.68x means for every $100 Medicare pays, this provider initially charges $468. 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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