This provider's $15.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.99x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 308% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 129% 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 | $3.2K | $633.75 | 5.05x | $2.6K | $616.8K | 1.4K | 1.3K |
| 2015 | $3.5K | $553.96 | 6.38x | $3.0K | $639.8K | 1.6K | 1.5K |
| 2016 | $3.5K | $528.93 | 6.63x | $3.0K | $753.9K | 1.8K | 1.7K |
| 2017 | $3.6K | $551.63 | 6.45x | $3.0K | $731.0K | 1.8K | 1.6K |
| 2018 | $6.0K | $1.5K | 4.06x | $4.5K | $1.7M | 2.0K | 1.8K |
| 2019 | $8.4K | $1.5K | 5.66x | $6.9K | $2.2M | 2.0K | 1.9K |
| 2020 | $10.0K | $1.8K | 5.50x | $8.2K | $1.8M | 1.4K | 1.3K |
| 2021 | $10.5K | $1.9K | 5.54x | $8.6K | $2.1M | 1.6K | 1.5K |
| 2022 | $10.1K | $1.7K | 6.04x | $8.4K | $2.0M | 2.0K | 1.8K |
| 2023 | $9.8K | $1.8K | 5.48x | $8.0K | $2.5M | 2.1K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 231 | $4.0M | $17.5K | 4.51x |
| 63655 | Implantation of spinal neurostimulator electrodes | 182 | $2.2M | $12.1K | 3.22x |
| 66984 | Removal of cataract with insertion of lens | 1.7K | $1.2M | $708.50 | 6.56x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 127 | $855.3K | $6.7K | 5.48x |
| 45380 | Biopsy of large bowel using an endoscope | 1.9K | $608.3K | $317.64 | 8.17x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.6K | $582.9K | $360.70 | 7.19x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 83 | $522.3K | $6.3K | 7.96x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.2K | $496.9K | $222.32 | 11.62x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.3K | $420.7K | $318.48 | 8.22x |
| 64721 | Release and/or relocation of median nerve of hand | 633 | $361.5K | $571.01 | 5.29x |
| 28285 | Correction of toe joint deformity | 343 | $217.6K | $634.38 | 4.91x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 99 | $194.5K | $2.0K | 3.88x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 88 | $188.4K | $2.1K | 13.81x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 716 | $184.0K | $256.96 | 8.95x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 678 | $172.4K | $254.21 | 10.08x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 558 | $159.8K | $286.42 | 14.27x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 615 | $140.8K | $228.98 | 9.89x |
| 67042 | Removal of membrane from the retina, pars plana approach | 108 | $136.9K | $1.3K | 4.35x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 19 | $135.8K | $7.1K | 5.18x |
| 26055 | Incision of tendon covering | 365 | $133.6K | $366.08 | 7.20x |
This provider submits charges 5.99 times higher than what Medicare actually pays.
A markup ratio of 5.99x means for every $100 Medicare pays, this provider initially charges $599. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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