This provider's $10.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.7x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 352% 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 | $5.3K | $590.76 | 8.91x | $4.7K | $471.6K | 1.3K | 905 |
| 2015 | $5.8K | $660.63 | 8.73x | $5.1K | $570.0K | 1.4K | 1.1K |
| 2016 | $5.8K | $753.71 | 7.68x | $5.0K | $588.1K | 1.5K | 1.1K |
| 2017 | $6.0K | $777.84 | 7.74x | $5.2K | $631.8K | 1.5K | 1.1K |
| 2018 | $6.6K | $859.96 | 7.66x | $5.7K | $848.4K | 2.0K | 1.5K |
| 2019 | $6.7K | $848.81 | 7.93x | $5.9K | $984.8K | 2.1K | 1.6K |
| 2020 | $8.2K | $2.1K | 3.94x | $6.1K | $1.2M | 1.4K | 1.1K |
| 2021 | $10.5K | $3.2K | 3.28x | $7.3K | $1.5M | 1.6K | 1.2K |
| 2022 | $10.4K | $3.2K | 3.29x | $7.2K | $1.7M | 1.5K | 1.2K |
| 2023 | $14.0K | $4.0K | 3.49x | $10.0K | $2.1M | 1.5K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.8K | $2.0M | $297.63 | 9.89x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 64 | $1.6M | $24.2K | 1.58x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 231 | $1.0M | $4.5K | 4.14x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.5K | $1.0M | $677.54 | 8.37x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 78 | $713.6K | $9.1K | 4.58x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 58 | $558.0K | $9.6K | 1.84x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 184 | $484.1K | $2.6K | 3.89x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.7K | $388.0K | $226.37 | 11.64x |
| 64721 | Release and/or relocation of median nerve of hand | 471 | $348.9K | $740.69 | 9.61x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 192 | $331.9K | $1.7K | 8.22x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.1K | $329.0K | $293.00 | 8.95x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 421 | $297.6K | $706.98 | 8.12x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 22 | $211.5K | $9.6K | 4.52x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 537 | $181.8K | $338.49 | 7.72x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 616 | $179.0K | $290.66 | 8.39x |
| 29881 | Removal of one knee cartilage using an endoscope | 129 | $149.5K | $1.2K | 9.06x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 466 | $136.3K | $292.40 | 9.94x |
| C9752 | Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum | 11 | $102.5K | $9.3K | 1.30x |
| 29880 | Removal of both knee cartilages using an endoscope | 80 | $89.6K | $1.1K | 9.35x |
| 26055 | Incision of tendon covering | 145 | $77.0K | $530.74 | 13.05x |
This provider submits charges 6.7 times higher than what Medicare actually pays.
A markup ratio of 6.7x means for every $100 Medicare pays, this provider initially charges $670. 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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