This provider's $6.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.33x is significantly above the specialty median of 6.1x.
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 | $502.08 | 12.14x | $5.6K | $484.1K | 1.6K | 869 |
| 2015 | $6.1K | $499.73 | 12.19x | $5.6K | $538.8K | 1.9K | 1.0K |
| 2016 | $6.1K | $495.99 | 12.29x | $5.6K | $516.9K | 1.8K | 1.0K |
| 2017 | $6.4K | $518.53 | 12.36x | $5.9K | $523.5K | 2.0K | 1.1K |
| 2018 | $6.4K | $520.85 | 12.35x | $5.9K | $665.1K | 2.3K | 1.4K |
| 2019 | $6.8K | $553.85 | 12.35x | $6.3K | $630.3K | 2.3K | 1.3K |
| 2020 | $6.5K | $571.03 | 11.31x | $5.9K | $688.5K | 2.4K | 1.3K |
| 2021 | $6.5K | $586.37 | 11.02x | $5.9K | $755.9K | 2.6K | 1.5K |
| 2022 | $6.5K | $588.91 | 10.97x | $5.9K | $592.3K | 2.1K | 1.4K |
| 2023 | $6.8K | $608.93 | 11.23x | $6.2K | $602.4K | 2.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.3K | $1.1M | $475.26 | 6.98x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.7K | $1.0M | $224.25 | 13.38x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 290 | $843.3K | $2.9K | 12.75x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 3.9K | $678.5K | $174.43 | 17.20x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.8K | $574.4K | $203.25 | 14.76x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.0K | $402.3K | $205.36 | 14.60x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.9K | $392.2K | $205.42 | 14.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 607 | $289.7K | $477.25 | 6.29x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 919 | $190.7K | $207.51 | 14.47x |
| 62311 | Injections of substances into lower or sacral spine | 708 | $169.5K | $239.44 | 12.53x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 227 | $124.3K | $547.77 | 5.48x |
| 62310 | Injections of substances into upper or middle spine | 513 | $123.3K | $240.30 | 12.47x |
| 62264 | Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day | 184 | $48.0K | $261.05 | 11.49x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 125 | $25.1K | $200.65 | 14.95x |
This provider submits charges 12.33 times higher than what Medicare actually pays.
A markup ratio of 12.33x means for every $100 Medicare pays, this provider initially charges $1233. 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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