This provider's $7.2M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.12x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 174% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2017
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 | $8.8K | $861.93 | 10.22x | $7.9K | $373.8K | 503 | 457 |
| 2015 | $8.9K | $822.66 | 10.82x | $8.1K | $496.9K | 649 | 592 |
| 2016 | $9.8K | $865.85 | 11.37x | $9.0K | $511.5K | 611 | 574 |
| 2017 | $9.6K | $855.40 | 11.23x | $8.7K | $827.2K | 940 | 884 |
| 2018 | $10.6K | $961.37 | 11.06x | $9.7K | $707.4K | 737 | 715 |
| 2019 | $11.6K | $1.1K | 10.55x | $10.5K | $780.5K | 757 | 735 |
| 2020 | $10.7K | $986.03 | 10.85x | $9.7K | $812.0K | 886 | 841 |
| 2021 | $10.8K | $1.0K | 10.42x | $9.8K | $835.4K | 811 | 788 |
| 2022 | $11.0K | $1.2K | 9.41x | $9.9K | $836.0K | 825 | 796 |
| 2023 | $10.8K | $1.1K | 9.39x | $9.6K | $1.0M | 1.1K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.2K | $2.3M | $1.9K | 9.19x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 190 | $571.8K | $3.0K | 6.84x |
| 64721 | Release and/or relocation of median nerve of hand | 1.0K | $559.0K | $532.90 | 10.70x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 785 | $508.2K | $647.41 | 26.60x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 574 | $419.2K | $730.29 | 12.27x |
| 29881 | Removal of one knee cartilage using an endoscope | 417 | $400.0K | $959.16 | 9.34x |
| 29880 | Removal of both knee cartilages using an endoscope | 375 | $356.1K | $949.61 | 9.43x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 161 | $356.0K | $2.2K | 7.79x |
| 26055 | Incision of tendon covering | 744 | $308.7K | $414.86 | 12.52x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 187 | $300.8K | $1.6K | 10.22x |
| 25447 | Removal of bone joints between wrist and fingers | 259 | $215.1K | $830.31 | 15.00x |
| 62311 | Injections of substances into lower or sacral spine | 348 | $92.3K | $265.33 | 8.51x |
| 28750 | Fusion of great toe | 29 | $90.5K | $3.1K | 5.65x |
| 25000 | Incision to repair tendon covering at wrist | 234 | $84.8K | $362.57 | 18.39x |
| 27447 | Replacement of knee joint, both sides of knee | 12 | $79.0K | $6.6K | 7.31x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 239 | $78.7K | $329.08 | 17.33x |
| 24305 | Lengthening of tendon of upper arm or elbow | 80 | $72.3K | $904.08 | 10.83x |
| 23430 | Anchoring of biceps tendon | 37 | $71.0K | $1.9K | 8.45x |
| 25310 | Relocation of tendon of forearm and/or wrist | 100 | $54.7K | $547.29 | 17.89x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 184 | $45.9K | $249.28 | 9.06x |
This provider submits charges 11.12 times higher than what Medicare actually pays.
A markup ratio of 11.12x means for every $100 Medicare pays, this provider initially charges $1112. 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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