This provider's $12.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 568% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 227% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $5.3K | $655.53 | 8.04x | $4.6K | $284.0K | 679 | 473 |
| 2016 | $7.0K | $2.3K | 3.03x | $4.7K | $927.5K | 1.1K | 831 |
| 2017 | $8.5K | $3.1K | 2.75x | $5.4K | $1.3M | 974 | 744 |
| 2018 | $6.0K | $2.2K | 2.68x | $3.7K | $1.5M | 1.1K | 835 |
| 2019 | $6.9K | $2.8K | 2.47x | $4.1K | $1.5M | 1.2K | 894 |
| 2020 | $7.7K | $2.4K | 3.14x | $5.2K | $914.7K | 994 | 740 |
| 2021 | $8.6K | $1.8K | 4.78x | $6.8K | $1.3M | 1.5K | 1.1K |
| 2022 | $19.7K | $4.0K | 4.96x | $15.8K | $2.4M | 1.3K | 1.0K |
| 2023 | $16.7K | $3.7K | 4.52x | $13.0K | $1.9M | 1.4K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 314 | $6.0M | $19.0K | 2.88x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 592 | $2.2M | $3.6K | 5.07x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $581.5K | $505.66 | 7.50x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 30 | $478.8K | $16.0K | 2.99x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.6K | $410.6K | $264.05 | 6.63x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.5K | $376.6K | $252.39 | 7.81x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.8K | $366.2K | $204.79 | 7.90x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 82 | $317.2K | $3.9K | 6.22x |
| 63655 | Implantation of spinal neurostimulator electrodes | 25 | $306.6K | $12.3K | 2.50x |
| 64575 | Insertion of peripheral nerve neurostimulator electrode | 30 | $273.3K | $9.1K | 2.90x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 417 | $211.6K | $507.41 | 7.86x |
| 27279 | Fusion of pelvic joint using imaging guidance | 16 | $183.9K | $11.5K | 8.26x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 654 | $169.0K | $258.42 | 8.22x |
| 66984 | Removal of cataract with insertion of lens | 85 | $70.6K | $830.38 | 5.76x |
| 63688 | Removal or revision of neurostimulator pulse generator or receiver | 37 | $51.8K | $1.4K | 5.66x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 144 | $34.4K | $239.11 | 6.15x |
| 64624 | Destruction of genicular nerve branches of knee by injection using imaging guidance | 55 | $34.3K | $622.92 | 9.29x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 11 | $23.4K | $2.1K | 2.59x |
| 62310 | Injections of substances into upper or middle spine | 75 | $20.9K | $278.62 | 5.39x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 55 | $15.1K | $274.69 | 5.66x |
This provider submits charges 4.34 times higher than what Medicare actually pays.
A markup ratio of 4.34x means for every $100 Medicare pays, this provider initially charges $434. 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 | โ 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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