This provider's $19.6M in total Medicare payments ranks in the 98th 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 | $2.7K | $751.60 | 3.63x | $2.0K | $1.4M | 2.9K | 2.7K |
| 2015 | $2.8K | $800.43 | 3.48x | $2.0K | $1.4M | 2.9K | 2.7K |
| 2016 | $3.1K | $879.40 | 3.53x | $2.2K | $1.6M | 3.2K | 3.1K |
| 2017 | $4.1K | $1.0K | 3.92x | $3.0K | $1.8M | 3.4K | 3.2K |
| 2018 | $4.0K | $829.79 | 4.86x | $3.2K | $1.9M | 3.7K | 3.5K |
| 2019 | $5.5K | $1.4K | 3.99x | $4.1K | $2.2M | 3.6K | 3.5K |
| 2020 | $4.5K | $1.2K | 3.60x | $3.2K | $1.9M | 3.1K | 3.0K |
| 2021 | $4.8K | $1.3K | 3.68x | $3.5K | $2.4M | 3.7K | 3.5K |
| 2022 | $5.3K | $1.5K | 3.53x | $3.8K | $2.4M | 3.3K | 3.2K |
| 2023 | $5.2K | $1.6K | 3.35x | $3.7K | $2.7M | 3.5K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 6.5K | $3.6M | $553.69 | 4.37x |
| 45380 | Biopsy of large bowel using an endoscope | 8.3K | $3.4M | $406.20 | 5.48x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 4.3K | $1.5M | $352.80 | 5.86x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.3K | $1.3M | $389.52 | 3.70x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 512 | $917.8K | $1.8K | 3.24x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.7K | $872.5K | $513.86 | 4.44x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 290 | $832.9K | $2.9K | 3.29x |
| 50590 | Shock wave crushing of kidney stones | 472 | $671.1K | $1.4K | 4.37x |
| 45381 | Injections of large bowel using an endoscope | 2.4K | $650.6K | $276.36 | 6.73x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.0K | $517.9K | $502.32 | 4.51x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 507 | $477.7K | $942.26 | 3.61x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 64 | $358.8K | $5.6K | 3.14x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 73 | $345.4K | $4.7K | 2.63x |
| 49505 | Repair of groin hernia patient age 5 years or older | 204 | $312.3K | $1.5K | 3.42x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 111 | $306.9K | $2.8K | 3.03x |
| 28750 | Fusion of great toe | 65 | $306.0K | $4.7K | 2.35x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 211 | $294.0K | $1.4K | 5.06x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 42 | $229.7K | $5.5K | 3.32x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 133 | $188.6K | $1.4K | 3.06x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 117 | $170.2K | $1.5K | 3.02x |
This provider submits charges 4.42 times higher than what Medicare actually pays.
A markup ratio of 4.42x means for every $100 Medicare pays, this provider initially charges $442. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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