This provider's $38.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.38x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 32653% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 224% in 2015
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 | $2.3K | $1.1K | 2.04x | $1.2K | $37.6K | 34 | 2 |
| 2015 | $3.8K | $999.96 | 3.80x | $2.8K | $122.0K | 122 | 4 |
| 2016 | $6.4K | $1.6K | 4.07x | $4.8K | $313.6K | 200 | 6 |
| 2017 | $8.9K | $1.8K | 5.02x | $7.2K | $486.4K | 273 | 9 |
| 2018 | $10.3K | $1.8K | 5.72x | $8.5K | $595.4K | 330 | 9 |
| 2019 | $11.1K | $1.6K | 7.04x | $9.5K | $1.2M | 792 | 14 |
| 2020 | $15.1K | $2.3K | 6.51x | $12.8K | $3.7M | 1.6K | 20 |
| 2021 | $12.0K | $2.2K | 5.38x | $9.8K | $8.8M | 3.9K | 30 |
| 2022 | $11.2K | $2.1K | 5.26x | $9.1K | $10.4M | 4.9K | 33 |
| 2023 | $9.2K | $1.8K | 5.03x | $7.4K | $12.3M | 6.7K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 2.0K | $12.8M | $6.4K | 5.85x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 777 | $5.1M | $6.5K | 5.73x |
| 27446 | Replacement of knee joint on side of knee | 752 | $4.4M | $5.8K | 4.93x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 192 | $3.4M | $17.5K | 2.71x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 675 | $2.3M | $3.4K | 3.32x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.1K | $1.5M | $1.4K | 8.40x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 654 | $1.4M | $2.1K | 5.91x |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 162 | $1.0M | $6.2K | 5.02x |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 100 | $567.3K | $5.7K | 1.42x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 2.3K | $543.0K | $231.36 | 2.24x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1.9K | $531.9K | $285.52 | 5.45x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 982 | $508.0K | $517.32 | 8.17x |
| 29881 | Removal of knee cartilage using an endoscope | 495 | $450.9K | $910.87 | 5.47x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 189 | $401.5K | $2.1K | 14.71x |
| 29848 | Release of wrist ligament using an endoscope | 742 | $359.9K | $485.07 | 7.11x |
| 26055 | Incision of tendon covering of finger | 759 | $297.3K | $391.69 | 7.31x |
| 64721 | Release and/or relocation of hand nerve | 515 | $281.1K | $545.90 | 6.17x |
| 28730 | Fusion of multiple foot joints | 32 | $209.6K | $6.6K | 3.82x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 65 | $201.7K | $3.1K | 4.03x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 777 | $195.3K | $251.39 | 3.93x |
This provider submits charges 5.38 times higher than what Medicare actually pays.
A markup ratio of 5.38x means for every $100 Medicare pays, this provider initially charges $538. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | ✓ 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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