This provider's $21.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.91x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 64% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2021
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 | $4.7K | $669.31 | 7.04x | $4.0K | $1.8M | 2.7K | 26 |
| 2015 | $4.9K | $648.34 | 7.63x | $4.3K | $1.8M | 2.8K | 25 |
| 2016 | $4.8K | $638.63 | 7.55x | $4.2K | $2.1M | 3.2K | 23 |
| 2017 | $5.0K | $671.73 | 7.51x | $4.4K | $2.2M | 3.3K | 25 |
| 2018 | $5.5K | $703.55 | 7.76x | $4.8K | $2.0M | 2.8K | 26 |
| 2019 | $907.41 | $122.74 | 7.39x | $784.67 | $2.1M | 16.7K | 28 |
| 2020 | $907.08 | $128.60 | 7.05x | $778.48 | $1.6M | 12.3K | 22 |
| 2021 | $396.11 | $63.57 | 6.23x | $332.54 | $2.6M | 40.8K | 24 |
| 2022 | $346.28 | $57.48 | 6.02x | $288.80 | $2.7M | 46.2K | 25 |
| 2023 | $356.91 | $60.52 | 5.90x | $296.39 | $2.9M | 48.2K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 12.1K | $8.7M | $714.35 | 7.98x |
| 27447 | Replacement of knee joint, both sides of knee | 271 | $1.8M | $6.6K | 5.18x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 138 | $945.5K | $6.9K | 5.09x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 491 | $878.1K | $1.8K | 5.01x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 562 | $743.1K | $1.3K | 4.16x |
| 29881 | Removal of knee cartilage using an endoscope | 759 | $689.8K | $908.82 | 6.83x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 619 | $500.9K | $809.16 | 10.01x |
| 64721 | Release and/or relocation of hand nerve | 903 | $475.6K | $526.67 | 8.73x |
| 29880 | Removal of both knee cartilages using an endoscope | 526 | $474.9K | $902.84 | 6.86x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 150 | $437.8K | $2.9K | 3.52x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 484 | $343.0K | $708.59 | 7.74x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 467 | $336.8K | $721.22 | 11.08x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.1K | $318.1K | $77.20 | 1.48x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 832 | $308.6K | $370.89 | 1.31x |
| 65820 | Incision to improve eye fluid flow | 222 | $307.5K | $1.4K | 2.94x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 236 | $304.4K | $1.3K | 4.27x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 206 | $269.3K | $1.3K | 4.20x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 202 | $260.8K | $1.3K | 3.10x |
| 26055 | Incision of tendon covering of finger | 503 | $207.8K | $413.09 | 8.82x |
| 23430 | Anchoring of biceps tendon | 108 | $196.6K | $1.8K | 3.32x |
This provider submits charges 6.91 times higher than what Medicare actually pays.
A markup ratio of 6.91x means for every $100 Medicare pays, this provider initially charges $691. 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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