This provider's $5.2M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.37x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 58% 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 | $5.2K | $720.67 | 7.26x | $4.5K | $409.1K | 644 | 547 |
| 2015 | $5.0K | $771.52 | 6.46x | $4.2K | $318.4K | 361 | 360 |
| 2016 | $5.9K | $773.04 | 7.64x | $5.1K | $469.3K | 615 | 568 |
| 2017 | $6.1K | $814.37 | 7.54x | $5.3K | $569.9K | 811 | 730 |
| 2018 | $4.7K | $788.42 | 5.97x | $3.9K | $584.0K | 826 | 741 |
| 2019 | $4.6K | $730.08 | 6.25x | $3.8K | $598.2K | 884 | 794 |
| 2020 | $4.9K | $837.76 | 5.88x | $4.1K | $458.9K | 544 | 526 |
| 2021 | $5.1K | $850.41 | 6.04x | $4.3K | $614.0K | 637 | 605 |
| 2022 | $4.6K | $805.65 | 5.73x | $3.8K | $544.4K | 576 | 563 |
| 2023 | $4.9K | $878.93 | 5.55x | $4.0K | $646.4K | 616 | 596 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 887 | $1.5M | $1.7K | 5.26x |
| 28750 | Fusion of great toe | 206 | $598.3K | $2.9K | 2.20x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 211 | $441.6K | $2.1K | 3.32x |
| 64721 | Release and/or relocation of median nerve of hand | 683 | $346.5K | $507.34 | 8.08x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 416 | $271.7K | $653.21 | 8.68x |
| 29881 | Removal of one knee cartilage using an endoscope | 264 | $241.1K | $913.32 | 6.37x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 411 | $214.4K | $521.67 | 14.95x |
| 25447 | Removal of bone joints between wrist and fingers | 249 | $209.3K | $840.55 | 8.79x |
| 26055 | Incision of tendon covering | 489 | $190.0K | $388.56 | 8.90x |
| 28285 | Correction of toe joint deformity | 238 | $124.9K | $524.58 | 7.64x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 471 | $118.6K | $251.79 | 6.87x |
| 20900 | Small bone graft harvest | 83 | $108.9K | $1.3K | 5.38x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 421 | $89.6K | $212.73 | 7.94x |
| 29880 | Removal of both knee cartilages using an endoscope | 91 | $83.1K | $912.72 | 6.63x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 256 | $62.7K | $245.08 | 5.36x |
| 28292 | Correction of bunion | 121 | $61.1K | $504.67 | 14.42x |
| 20680 | Removal of deep bone implant | 77 | $54.4K | $706.85 | 6.94x |
| 62311 | Injections of substances into lower or sacral spine | 201 | $52.1K | $259.27 | 6.56x |
| 26160 | Removal of growth of tendon finger or hand | 99 | $44.9K | $453.27 | 8.16x |
| 29848 | Release of wrist ligament using an endoscope | 81 | $42.6K | $526.47 | 11.01x |
This provider submits charges 6.37 times higher than what Medicare actually pays.
A markup ratio of 6.37x means for every $100 Medicare pays, this provider initially charges $637. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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