This provider's $6.7M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.21x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 91% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 73% in 2022
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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $612.64 | $157.19 | 3.90x | $455.45 | $563.9K | 3.4K | 1.8K |
| 2015 | $657.23 | $171.84 | 3.82x | $485.39 | $574.1K | 3.3K | 1.8K |
| 2016 | $880.00 | $190.02 | 4.63x | $689.98 | $660.2K | 3.4K | 1.9K |
| 2017 | $1.1K | $166.21 | 6.58x | $927.70 | $474.4K | 3.0K | 1.6K |
| 2018 | $1.7K | $338.47 | 5.15x | $1.4K | $525.7K | 3.0K | 1.7K |
| 2019 | $2.0K | $393.45 | 5.05x | $1.6K | $658.0K | 3.0K | 1.8K |
| 2020 | $1.7K | $321.40 | 5.40x | $1.4K | $608.5K | 2.7K | 1.7K |
| 2021 | $1.8K | $333.55 | 5.44x | $1.5K | $558.5K | 2.4K | 1.6K |
| 2022 | $4.4K | $1.2K | 3.68x | $3.2K | $964.8K | 2.5K | 1.9K |
| 2023 | $4.3K | $1.2K | 3.74x | $3.2K | $1.1M | 2.6K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 7.0K | $1.5M | $218.35 | 4.88x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.8K | $830.9K | $462.65 | 6.06x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 5.2K | $713.1K | $137.27 | 6.31x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.3K | $620.3K | $186.44 | 5.45x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 33 | $569.0K | $17.2K | 3.19x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 156 | $510.7K | $3.3K | 3.49x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.5K | $333.1K | $216.98 | 4.66x |
| 64415 | Injection of anesthetic agent, brachial (arm) nerve bundle | 1.4K | $329.4K | $230.84 | 4.72x |
| 62311 | Injections of substances into lower or sacral spine | 1.8K | $307.7K | $172.75 | 3.86x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.1K | $282.9K | $247.33 | 4.12x |
| 64421 | Injection of anesthetic agent of multiple rib nerves | 743 | $172.7K | $232.38 | 4.22x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 148 | $83.6K | $565.14 | 5.31x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 332 | $76.5K | $230.31 | 3.07x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 369 | $75.0K | $203.16 | 5.06x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 97 | $56.3K | $580.34 | 2.83x |
| 62310 | Injections of substances into upper or middle spine | 329 | $47.3K | $143.78 | 4.51x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 722 | $31.5K | $43.66 | 18.83x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 239 | $26.8K | $112.09 | 6.29x |
| 64420 | Injection of anesthetic agent and/or steroid into single intercostal nerve of rib | 217 | $25.4K | $117.09 | 10.68x |
| 64418 | Injection of anesthetic agent, collar bone nerve | 1.0K | $25.4K | $25.22 | 36.14x |
This provider submits charges 5.21 times higher than what Medicare actually pays.
A markup ratio of 5.21x means for every $100 Medicare pays, this provider initially charges $521. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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