This provider's $25.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.26x 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 | $5.0K | $834.90 | 5.96x | $4.1K | $2.4M | 3.1K | 2.6K |
| 2015 | $5.4K | $862.37 | 6.27x | $4.5K | $2.5M | 3.2K | 2.6K |
| 2016 | $6.0K | $912.79 | 6.59x | $5.1K | $2.5M | 3.1K | 2.5K |
| 2017 | $5.8K | $916.09 | 6.30x | $4.9K | $2.7M | 3.4K | 2.8K |
| 2018 | $5.5K | $890.85 | 6.17x | $4.6K | $2.8M | 3.3K | 2.8K |
| 2019 | $5.2K | $834.08 | 6.26x | $4.4K | $2.5M | 3.2K | 2.7K |
| 2020 | $5.6K | $782.21 | 7.13x | $4.8K | $2.0M | 2.6K | 2.2K |
| 2021 | $6.7K | $1.3K | 5.13x | $5.4K | $2.9M | 3.1K | 2.6K |
| 2022 | $6.9K | $1.1K | 6.38x | $5.8K | $2.7M | 2.7K | 2.4K |
| 2023 | $8.0K | $1.2K | 6.64x | $6.8K | $2.4M | 2.4K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 14.5K | $10.8M | $744.61 | 3.51x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 791 | $1.5M | $1.9K | 4.59x |
| 66982 | Removal of cataract with insertion of lens | 1.3K | $974.3K | $746.06 | 6.43x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 144 | $966.2K | $6.7K | 4.01x |
| 29881 | Removal of one knee cartilage using an endoscope | 658 | $625.2K | $950.18 | 13.37x |
| 19316 | Enlargement of breast | 394 | $610.3K | $1.5K | 6.77x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 863 | $529.3K | $613.33 | 6.86x |
| V2785 | Processing, preserving and transporting corneal tissue | 165 | $526.6K | $3.2K | 1.30x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 279 | $408.4K | $1.5K | 6.67x |
| 29880 | Removal of both knee cartilages using an endoscope | 406 | $390.5K | $961.86 | 13.46x |
| 19303 | Total removal of breast | 282 | $388.2K | $1.4K | 3.70x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 255 | $387.1K | $1.5K | 7.26x |
| 19301 | Partial removal of breast | 797 | $382.2K | $479.49 | 10.43x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 55 | $371.4K | $6.8K | 3.97x |
| 0191T | Internal insertion of eye fluid drainage device | 173 | $353.2K | $2.0K | 2.80x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 426 | $336.3K | $789.44 | 8.58x |
| 64721 | Release and/or relocation of median nerve of hand | 491 | $288.6K | $587.86 | 8.48x |
| 31276 | Exploration of nasal sinus using an endoscope | 273 | $252.0K | $922.96 | 10.00x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 239 | $229.5K | $960.39 | 5.06x |
| 30465 | Widening of nasal passage | 137 | $226.4K | $1.7K | 3.43x |
This provider submits charges 5.26 times higher than what Medicare actually pays.
A markup ratio of 5.26x means for every $100 Medicare pays, this provider initially charges $526. 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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