This provider's $25.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 98% 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 | $1.8K | $503.78 | 3.53x | $1.3K | $1.5M | 3.1K | 19 |
| 2015 | $1.8K | $533.61 | 3.47x | $1.3K | $1.8M | 3.4K | 22 |
| 2016 | $2.2K | $655.25 | 3.33x | $1.5K | $2.5M | 3.8K | 21 |
| 2017 | $2.3K | $672.57 | 3.45x | $1.6K | $2.7M | 4.0K | 26 |
| 2018 | $2.4K | $695.66 | 3.46x | $1.7K | $2.3M | 3.4K | 26 |
| 2019 | $2.4K | $685.95 | 3.54x | $1.7K | $2.1M | 3.1K | 23 |
| 2020 | $2.8K | $860.88 | 3.24x | $1.9K | $2.5M | 2.9K | 22 |
| 2021 | $2.2K | $714.95 | 3.14x | $1.5K | $3.6M | 5.0K | 25 |
| 2022 | $2.9K | $830.87 | 3.46x | $2.0K | $3.5M | 4.2K | 21 |
| 2023 | $4.2K | $1.3K | 3.34x | $3.0K | $3.1M | 2.4K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 11.6K | $9.5M | $819.10 | 3.11x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 234 | $4.1M | $17.5K | 3.60x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 885 | $3.3M | $3.7K | 3.15x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 4.7K | $1.2M | $249.99 | 3.78x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.0K | $1.0M | $527.24 | 3.87x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 43 | $684.5K | $15.9K | 1.54x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 138 | $371.5K | $2.7K | 4.36x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 435 | $360.4K | $828.42 | 3.10x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.6K | $306.7K | $195.86 | 4.09x |
| 69436 | Incision of eardrum with placement of eardrum tube under general anesthesia | 610 | $246.1K | $403.40 | 3.96x |
| 45384 | Removal of tissue abnormalities, tumors, or polyps of large bowel by hot biopsy forceps, using a flexible endoscope | 686 | $244.3K | $356.06 | 3.34x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 520 | $230.3K | $442.84 | 2.86x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 375 | $226.6K | $604.29 | 3.38x |
| 0191T | Internal insertion of eye fluid drainage device | 91 | $214.6K | $2.4K | 2.82x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 183 | $205.1K | $1.1K | 3.77x |
| 30520 | Reshaping of nasal cartilage | 311 | $201.1K | $646.72 | 3.92x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 717 | $178.4K | $248.84 | 3.70x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 3.3K | $167.3K | $51.30 | 3.90x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 18 | $158.1K | $8.8K | 3.66x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 471 | $158.1K | $335.62 | 3.75x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $38.7M | ✓ 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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