This provider's $16.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.06x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 82% from 2014 to 2023.
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 | $5.9K | $1.7K | 3.48x | $4.2K | $966.2K | 2.1K | 1.5K |
| 2015 | $5.8K | $1.8K | 3.18x | $4.0K | $1.1M | 2.1K | 1.5K |
| 2016 | $6.2K | $2.0K | 3.16x | $4.2K | $1.4M | 1.8K | 1.4K |
| 2017 | $5.8K | $1.7K | 3.30x | $4.0K | $1.3M | 1.9K | 1.4K |
| 2018 | $6.6K | $1.9K | 3.44x | $4.7K | $1.7M | 2.2K | 1.6K |
| 2019 | $7.0K | $2.0K | 3.47x | $5.0K | $1.9M | 2.6K | 1.8K |
| 2020 | $9.4K | $2.8K | 3.41x | $6.6K | $2.3M | 2.1K | 1.6K |
| 2021 | $8.9K | $2.7K | 3.29x | $6.2K | $2.2M | 2.2K | 1.6K |
| 2022 | $9.4K | $2.3K | 4.02x | $7.0K | $2.0M | 2.3K | 1.7K |
| 2023 | $9.7K | $2.4K | 4.09x | $7.4K | $1.8M | 2.0K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 400 | $6.4M | $16.1K | 2.78x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 682 | $2.2M | $3.2K | 3.33x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 168 | $1.6M | $9.6K | 2.63x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.1K | $1.6M | $514.61 | 8.30x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.6K | $850.7K | $234.75 | 9.45x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.0K | $660.5K | $218.35 | 10.33x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 230 | $587.9K | $2.6K | 4.12x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 965 | $486.5K | $504.15 | 7.42x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 37 | $344.5K | $9.3K | 2.69x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.4K | $318.4K | $223.58 | 10.21x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.0K | $308.8K | $151.80 | 10.90x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.4K | $294.5K | $206.96 | 12.90x |
| 62311 | Injections of substances into lower or sacral spine | 960 | $240.2K | $250.16 | 8.18x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.1K | $225.6K | $212.66 | 12.80x |
| 62310 | Injections of substances into upper or middle spine | 588 | $146.2K | $248.59 | 8.24x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 171 | $89.9K | $525.73 | 7.45x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 12 | $87.8K | $7.3K | 3.55x |
| 0627T | Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level | 11 | $73.8K | $6.7K | 2.21x |
| 64510 | Injection of anesthetic agent, sympathetic nerve bundle | 250 | $60.0K | $239.82 | 8.57x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 40 | $38.3K | $957.12 | 4.76x |
This provider submits charges 5.06 times higher than what Medicare actually pays.
A markup ratio of 5.06x means for every $100 Medicare pays, this provider initially charges $506. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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