This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 621% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 133% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $38.7K | $19.8K | 1.95x | $18.9K | $316.8K | 16 | 16 |
| 2019 | $12.4K | $4.9K | 2.53x | $7.5K | $738.4K | 156 | 135 |
| 2020 | $29.3K | $4.8K | 6.05x | $24.5K | $843.6K | 248 | 229 |
| 2021 | $29.0K | $2.9K | 10.15x | $26.2K | $1.9M | 347 | 337 |
| 2022 | $40.3K | $3.9K | 10.22x | $36.3K | $2.0M | 291 | 280 |
| 2023 | $42.2K | $4.7K | 8.98x | $37.5K | $2.3M | 303 | 292 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 430 | $3.3M | $7.7K | 9.73x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 414 | $3.3M | $7.9K | 8.55x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 58 | $1.2M | $19.8K | 2.46x |
| 63655 | Implantation of spinal neurostimulator electrodes | 12 | $163.9K | $13.7K | 1.90x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 29 | $77.5K | $2.7K | 9.89x |
| 64721 | Release and/or relocation of median nerve of hand | 33 | $21.0K | $635.89 | 22.67x |
| 20680 | Removal of deep bone implant | 25 | $21.0K | $838.07 | 21.63x |
| 29880 | Removal of both knee cartilages using an endoscope | 14 | $16.3K | $1.2K | 11.83x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 41 | $12.1K | $295.99 | 14.88x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 26 | $7.5K | $290.29 | 20.69x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 26 | $7.2K | $275.72 | 21.79x |
| 62322 | Injection of substance into spinal canal of lower back or sacrum | 15 | $4.0K | $265.79 | 12.81x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 16 | $3.6K | $224.89 | 13.34x |
| 64450 | Injection of anesthetic agent and/or steroid into other peripheral nerve or branch | 39 | $817.14 | $20.95 | 162.46x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 183 | $181.08 | $0.99 | 3.97x |
This provider submits charges 8.18 times higher than what Medicare actually pays.
A markup ratio of 8.18x means for every $100 Medicare pays, this provider initially charges $818. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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