This provider's $5.9M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.92x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 31696% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 14397% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $1.2K | $202.92 | 5.91x | $997.08 | $5.1K | 25 | 25 |
| 2019 | $5.6K | $1.3K | 4.22x | $4.3K | $735.4K | 1.5K | 1.0K |
| 2020 | $5.4K | $837.79 | 6.47x | $4.6K | $550.4K | 1.3K | 938 |
| 2021 | $6.9K | $1.1K | 6.05x | $5.8K | $1.2M | 1.4K | 1.0K |
| 2022 | $7.8K | $1.8K | 4.27x | $6.0K | $1.8M | 1.7K | 1.3K |
| 2023 | $8.1K | $2.0K | 4.12x | $6.2K | $1.6M | 1.7K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 198 | $1.3M | $6.4K | 4.32x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 179 | $1.2M | $6.5K | 5.28x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.1K | $708.6K | $226.67 | 8.48x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 40 | $689.5K | $17.2K | 1.81x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 187 | $324.3K | $1.7K | 7.38x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 87 | $187.6K | $2.2K | 5.96x |
| 26480 | Transplant of tendon of hand | 149 | $137.6K | $923.42 | 5.07x |
| 29848 | Release of wrist ligament using an endoscope | 341 | $137.4K | $402.81 | 13.30x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 530 | $120.9K | $228.09 | 8.44x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 408 | $111.8K | $273.95 | 10.26x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 33 | $111.6K | $3.4K | 3.11x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 47 | $103.8K | $2.2K | 5.82x |
| 29881 | Removal of one knee cartilage using an endoscope | 104 | $94.8K | $911.29 | 6.61x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 191 | $93.8K | $491.22 | 12.26x |
| 25447 | Removal of bone joints between wrist and fingers | 161 | $83.0K | $515.51 | 9.08x |
| 26121 | Removal of tissue of palm | 91 | $79.9K | $877.69 | 5.33x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 284 | $75.0K | $264.04 | 10.71x |
| 26055 | Incision of tendon covering | 189 | $73.5K | $388.66 | 6.94x |
| 26123 | Removal of tissue of palm | 75 | $66.5K | $886.95 | 5.28x |
| 64721 | Release and/or relocation of median nerve of hand | 111 | $49.7K | $447.87 | 6.41x |
This provider submits charges 5.92 times higher than what Medicare actually pays.
A markup ratio of 5.92x means for every $100 Medicare pays, this provider initially charges $592. 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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