This provider's $22.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.53x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 113% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% in 2019
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 | $2.1K | $476.52 | 4.33x | $1.6K | $1.4M | 3.0K | 15 |
| 2015 | $2.2K | $468.43 | 4.65x | $1.7K | $1.4M | 3.0K | 17 |
| 2016 | $2.4K | $569.08 | 4.26x | $1.9K | $1.6M | 2.9K | 17 |
| 2017 | $3.4K | $636.43 | 5.33x | $2.8K | $1.7M | 2.7K | 16 |
| 2018 | $4.1K | $535.73 | 7.62x | $3.5K | $1.4M | 2.5K | 17 |
| 2019 | $5.1K | $812.98 | 6.27x | $4.3K | $2.9M | 3.5K | 22 |
| 2020 | $2.0K | $350.52 | 5.79x | $1.7K | $2.9M | 8.3K | 23 |
| 2021 | $5.6K | $1.0K | 5.40x | $4.5K | $3.4M | 3.3K | 25 |
| 2022 | $5.2K | $925.16 | 5.65x | $4.3K | $3.0M | 3.3K | 21 |
| 2023 | $5.3K | $961.43 | 5.46x | $4.3K | $3.1M | 3.2K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 13.9K | $9.4M | $677.51 | 6.41x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 201 | $3.3M | $16.2K | 3.40x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 360 | $1.1M | $3.1K | 3.44x |
| 27447 | Replacement of knee joint, both sides of knee | 173 | $1.0M | $5.9K | 3.89x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 5.8K | $958.6K | $166.02 | 8.87x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 116 | $867.0K | $7.5K | 4.46x |
| 64721 | Release and/or relocation of hand nerve | 1.4K | $734.2K | $526.32 | 5.54x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.5K | $617.8K | $412.44 | 8.97x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 869 | $580.6K | $668.11 | 6.17x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 171 | $506.3K | $3.0K | 2.83x |
| 0191T | Internal insertion of eye fluid drainage device | 241 | $438.6K | $1.8K | 2.94x |
| 29881 | Removal of knee cartilage using an endoscope | 427 | $370.0K | $866.52 | 4.87x |
| 27446 | Replacement of knee joint on side of knee | 45 | $273.4K | $6.1K | 3.80x |
| 29880 | Removal of both knee cartilages using an endoscope | 281 | $244.0K | $868.46 | 4.86x |
| 26055 | Incision of tendon covering of finger | 606 | $241.0K | $397.69 | 6.22x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 44 | $217.6K | $4.9K | 3.48x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 35 | $212.6K | $6.1K | 3.80x |
| 67904 | Repair of tendon of upper eyelid | 450 | $197.4K | $438.68 | 8.26x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 116 | $166.0K | $1.4K | 3.41x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 685 | $147.1K | $214.76 | 5.38x |
This provider submits charges 5.53 times higher than what Medicare actually pays.
A markup ratio of 5.53x means for every $100 Medicare pays, this provider initially charges $553. 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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