ASC industry snapshot: 13 things to know

The ASC industry is dynamic and has a growing role in the healthcare ecosystem as more procedures become outpatient.

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Here is a snaptshot of the industry based on information from the MedPAC 2020 Report to CongressASCA and VMG Health Intellimarker.

1. Number of ASCs in 2018: 5,717

2. The states with the most ASCs are:

• California: 813
• Florida: 454
• Texas: 429
• Maryland: 343
• New Jersey: 266

3. Independently owned centers: 72 percent of all ASCs

4. ASCs owned by multisite operators: 28 percent of all ASCs

5. Number of single specialty ASCs in 2018: 3,277 (65 percent of all ASCs)

6. Number of multispecialty ASCs: 1,802 (39 percent of ASCs)

7. Number of gastroenterology-driven ASCs: 1,071 (21 percent of ASCs)

8. Number of ophthalmology-driven ASCs: 1,046 (21 percent of ASCs)

9. Number of orthopedic ASCs: 33 (1 percent of ASCs)

10. Number of pain management, neurology and orthopedics multispecialty ASCs: 612 (12 percent of ASCs)

11. Most common ASC procedures:
• Cataract surgery with IOL insert, stage 1: 18.8 percent of all procedures
• Upper GI endoscopy, biopsy: 7.9 percent
• Colonoscopy and biopsy: 6.9 percent
• Lesion removal colonoscopy (snare technique): 6.2 percent
• Inject foramen epidural: lumbar, sacral: 4.6 percent
• After cataract laser surgery: 4.2 percent
• Inject paravertebral: lumbar, sacral: 3.4 percent
• Injection spine: lumbar, sacral (caudal): 2.7 percent
• Colorectal screen, high-risk individual: 2.1 percent
• Diagnostic colonoscopy: 1.7 percent

12. ASC specialty breakdown:

• Orthopedics: 2,104 centers (36 percent)
• Ophthalmology: 2,806 centers (36 percent)
• Pain: 1,959 centers (34 percent
• Endoscopy: 1,854 centers (32 percent)
• Plastic: 1,751 centers (30 percent)
• Podiatry: 1,694 (29 percent)
• ENT: 1,424 (25 percent)
• OB/GYN: 1,209 (21 percent)
• Dental: 492 (9 percent)

13. Single-specialty ASC breakdown:

• Endoscopy: 27 percent
• Ophthalmology: 25 percent
• Pain: 12 percent
• Plastic: 6 percent
• Orthopedics: 5 percent
• Podiatry: 4 percent
• ENT: 1 percent
• OB/GYN: 1 percent
• Other: 18 percent

More articles on surgery centers:
5 employees of U of New Mexico outpatient surgery center test positive for COVID-19
ASC leaders on top priorities during COVID-19 pandemic
ASCs projected to take 68% of orthopedic surgeries by mid-decade — 5 insights

At the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference, taking place June 11-13 in Chicago, spine surgeons, orthopedic leaders and ASC executives will come together to explore minimally invasive techniques, ASC growth strategies and innovations shaping the future of outpatient spine care. Apply for complimentary registration now.

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