This provider's $33.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.74x is significantly above the specialty median of 6.1x.
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 | $1.9K | $297.36 | 6.53x | $1.6K | $2.7M | 9.1K | 11 |
| 2015 | $1.9K | $288.81 | 6.71x | $1.6K | $3.0M | 10.2K | 11 |
| 2016 | $2.0K | $300.87 | 6.59x | $1.7K | $3.2M | 10.8K | 11 |
| 2017 | $2.1K | $287.87 | 7.38x | $1.8K | $3.2M | 11.0K | 10 |
| 2018 | $2.4K | $334.44 | 7.20x | $2.1K | $3.5M | 10.5K | 13 |
| 2019 | $2.4K | $356.85 | 6.76x | $2.1K | $3.8M | 10.6K | 13 |
| 2020 | $2.5K | $378.88 | 6.61x | $2.1K | $3.0M | 7.8K | 15 |
| 2021 | $2.5K | $388.48 | 6.31x | $2.1K | $3.3M | 8.6K | 16 |
| 2022 | $2.8K | $438.55 | 6.44x | $2.4K | $3.8M | 8.6K | 21 |
| 2023 | $3.2K | $459.73 | 6.86x | $2.7K | $4.0M | 8.6K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.7K | $5.4M | $3.2K | 3.25x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 23.3K | $5.3M | $228.56 | 8.25x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 10.1K | $4.7M | $467.42 | 7.06x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 19.0K | $4.2M | $218.68 | 8.77x |
| 62311 | Injections of substances into lower or sacral spine | 10.6K | $2.7M | $253.81 | 7.03x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 131 | $2.3M | $17.5K | 2.62x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 8.6K | $2.2M | $260.49 | 7.39x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 5.1K | $1.2M | $241.90 | 7.88x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 1.9K | $1.0M | $537.83 | 4.60x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 3.9K | $865.0K | $221.11 | 8.71x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 4.0K | $791.2K | $200.06 | 9.44x |
| 62310 | Injections of substances into upper or middle spine | 2.0K | $504.0K | $253.92 | 7.03x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 72 | $500.7K | $7.0K | 4.77x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 54 | $396.8K | $7.3K | 4.20x |
| 27447 | Replacement of knee joint, both sides of knee | 53 | $358.5K | $6.8K | 4.98x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 27 | $247.0K | $9.1K | 2.40x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 58 | $123.5K | $2.1K | 4.49x |
| 64640 | Destruction of peripheral nerve or branch | 2.2K | $89.7K | $41.44 | 57.88x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 163 | $84.7K | $519.87 | 8.21x |
| 64721 | Release and/or relocation of hand nerve | 119 | $65.9K | $553.72 | 6.64x |
This provider submits charges 6.74 times higher than what Medicare actually pays.
A markup ratio of 6.74x means for every $100 Medicare pays, this provider initially charges $674. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ 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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