This provider's $9.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.59x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 420% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 76% in 2023
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 | $5.3K | $518.06 | 10.19x | $4.8K | $417.6K | 1.0K | 801 |
| 2015 | $6.1K | $598.02 | 10.22x | $5.5K | $664.9K | 1.2K | 1.1K |
| 2016 | $6.8K | $602.08 | 11.31x | $6.2K | $734.4K | 1.3K | 1.2K |
| 2017 | $7.0K | $557.78 | 12.60x | $6.5K | $702.1K | 1.5K | 1.3K |
| 2018 | $7.5K | $549.42 | 13.69x | $7.0K | $743.2K | 1.3K | 1.2K |
| 2019 | $8.5K | $626.21 | 13.61x | $7.9K | $792.5K | 1.3K | 1.1K |
| 2020 | $9.0K | $655.42 | 13.67x | $8.3K | $753.1K | 1.3K | 1.1K |
| 2021 | $11.7K | $903.75 | 12.97x | $10.8K | $845.5K | 1.2K | 1.1K |
| 2022 | $10.0K | $1.2K | 8.46x | $8.9K | $1.2M | 1.3K | 1.2K |
| 2023 | $9.0K | $1.5K | 5.81x | $7.4K | $2.2M | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $1.4M | $1.4K | 9.88x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 600 | $1.2M | $2.0K | 9.19x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 182 | $1.2M | $6.5K | 5.54x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 84 | $554.9K | $6.6K | 4.82x |
| 64721 | Release and/or relocation of median nerve of hand | 880 | $482.5K | $548.25 | 10.29x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.2K | $464.9K | $215.75 | 14.28x |
| 29881 | Removal of one knee cartilage using an endoscope | 492 | $449.4K | $913.39 | 11.17x |
| 29880 | Removal of both knee cartilages using an endoscope | 357 | $319.3K | $894.51 | 12.48x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 588 | $306.8K | $521.84 | 25.89x |
| 62311 | Injections of substances into lower or sacral spine | 1.1K | $290.7K | $254.58 | 10.46x |
| 26055 | Incision of tendon covering | 668 | $278.4K | $416.77 | 11.36x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 456 | $263.7K | $578.34 | 22.86x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 833 | $190.0K | $228.10 | 14.56x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 747 | $187.1K | $250.51 | 11.69x |
| 29884 | Repair of knee joint and removal of scar tissue using an endoscope | 203 | $186.9K | $920.93 | 11.57x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 403 | $183.8K | $456.11 | 6.94x |
| 29848 | Release of wrist ligament using an endoscope | 275 | $125.7K | $457.13 | 22.12x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 267 | $118.3K | $443.00 | 12.26x |
| 26160 | Removal of growth of tendon finger or hand | 218 | $106.6K | $488.81 | 11.63x |
| 27570 | Alignment of knee joint under anesthesia | 179 | $89.3K | $498.77 | 8.36x |
This provider submits charges 10.59 times higher than what Medicare actually pays.
A markup ratio of 10.59x means for every $100 Medicare pays, this provider initially charges $1059. 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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