This provider's $30.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.14x 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 | $6.2K | $654.79 | 9.51x | $5.6K | $2.3M | 3.6K | 23 |
| 2015 | $6.4K | $637.45 | 10.06x | $5.8K | $2.7M | 4.3K | 25 |
| 2016 | $6.5K | $638.07 | 10.16x | $5.8K | $2.7M | 4.3K | 27 |
| 2017 | $6.7K | $632.83 | 10.53x | $6.0K | $2.7M | 4.3K | 26 |
| 2018 | $7.1K | $650.70 | 10.88x | $6.4K | $2.8M | 4.3K | 28 |
| 2019 | $7.7K | $657.09 | 11.69x | $7.0K | $3.0M | 4.5K | 26 |
| 2020 | $8.7K | $806.23 | 10.77x | $7.9K | $3.1M | 3.9K | 20 |
| 2021 | $9.1K | $933.08 | 9.71x | $8.1K | $4.2M | 4.5K | 24 |
| 2022 | $5.6K | $596.55 | 9.39x | $5.0K | $3.1M | 5.2K | 22 |
| 2023 | $3.9K | $426.28 | 9.07x | $3.4K | $3.7M | 8.7K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 20.2K | $14.8M | $732.70 | 13.01x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 3.3K | $1.4M | $425.02 | 10.92x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 79 | $1.4M | $17.4K | 2.81x |
| 27447 | Replacement of knee joint, both sides of knee | 191 | $1.3M | $6.7K | 2.95x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 682 | $1.2M | $1.7K | 5.58x |
| 67904 | Repair of tendon of upper eyelid | 2.4K | $1.1M | $444.28 | 10.02x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.4K | $1.1M | $737.63 | 7.46x |
| 64721 | Release and/or relocation of hand nerve | 1.1K | $592.0K | $545.63 | 7.92x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 84 | $573.4K | $6.8K | 5.21x |
| 49650 | Repair of groin hernia using an endoscope | 327 | $440.5K | $1.3K | 10.59x |
| 29881 | Removal of knee cartilage using an endoscope | 431 | $401.2K | $930.94 | 8.63x |
| 26055 | Incision of tendon covering of finger | 930 | $397.2K | $427.15 | 7.38x |
| 29880 | Removal of both knee cartilages using an endoscope | 405 | $375.5K | $927.08 | 8.44x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.6K | $349.8K | $76.22 | 33.45x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 165 | $334.1K | $2.0K | 5.62x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 390 | $297.8K | $763.62 | 11.05x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 169 | $285.1K | $1.7K | 3.97x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.3K | $231.2K | $101.39 | 7.26x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 108 | $223.5K | $2.1K | 8.26x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 16 | $213.4K | $13.3K | 2.53x |
This provider submits charges 10.14 times higher than what Medicare actually pays.
A markup ratio of 10.14x means for every $100 Medicare pays, this provider initially charges $1014. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Eye Surgery Center Of The Carolinas Lp | Southern Pines, NC | $33.8M | ✓ 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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