This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.61x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2018
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 | $2.6K | $477.95 | 5.47x | $2.1K | $564.4K | 1.1K | 870 |
| 2015 | $2.6K | $591.53 | 4.44x | $2.0K | $618.8K | 1.2K | 941 |
| 2016 | $2.8K | $561.35 | 4.95x | $2.2K | $585.0K | 1.2K | 931 |
| 2017 | $2.6K | $464.40 | 5.53x | $2.1K | $527.2K | 1.2K | 981 |
| 2018 | $4.0K | $1.7K | 2.40x | $2.4K | $909.0K | 1.1K | 906 |
| 2019 | $3.9K | $1.6K | 2.39x | $2.3K | $917.2K | 1.1K | 816 |
| 2020 | $2.7K | $618.63 | 4.34x | $2.1K | $598.1K | 916 | 693 |
| 2021 | $2.6K | $564.18 | 4.55x | $2.0K | $619.0K | 957 | 734 |
| 2022 | $2.7K | $680.83 | 3.99x | $2.0K | $726.5K | 1.0K | 781 |
| 2023 | $2.8K | $610.70 | 4.63x | $2.2K | $841.7K | 1.2K | 912 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.7K | $3.5M | $737.60 | 6.84x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 27 | $436.9K | $16.2K | 1.36x |
| 19301 | Partial removal of breast | 712 | $429.6K | $603.43 | 4.23x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 444 | $334.7K | $753.89 | 2.08x |
| 66982 | Removal of cataract with insertion of lens | 321 | $237.0K | $738.23 | 7.04x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.0K | $232.7K | $231.10 | 6.52x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 208 | $137.7K | $661.95 | 2.30x |
| 62311 | Injections of substances into lower or sacral spine | 513 | $131.3K | $255.99 | 6.65x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 603 | $126.7K | $210.13 | 8.11x |
| 67904 | Repair of tendon of upper eyelid | 249 | $116.9K | $469.28 | 8.70x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 242 | $101.8K | $420.62 | 7.14x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 11 | $101.4K | $9.2K | 1.54x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 34 | $87.5K | $2.6K | 1.74x |
| 19125 | Removal of breast growth, open procedure | 110 | $70.4K | $640.13 | 3.07x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 313 | $67.0K | $213.96 | 8.01x |
| 64721 | Release and/or relocation of median nerve of hand | 122 | $62.6K | $513.25 | 4.45x |
| 31255 | Removal of nasal sinus using an endoscope | 69 | $59.7K | $864.81 | 2.52x |
| 29880 | Removal of both knee cartilages using an endoscope | 65 | $58.2K | $895.42 | 5.28x |
| 62310 | Injections of substances into upper or middle spine | 204 | $52.0K | $255.07 | 6.71x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 52 | $51.0K | $981.38 | 2.59x |
This provider submits charges 5.61 times higher than what Medicare actually pays.
A markup ratio of 5.61x means for every $100 Medicare pays, this provider initially charges $561. 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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