This provider's $25.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.11x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 127% from 2014 to 2023.
70% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic lens).
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 | $5.1K | $554.02 | 9.14x | $4.5K | $1.3M | 2.4K | 20 |
| 2015 | $6.1K | $534.51 | 11.39x | $5.6K | $1.4M | 2.6K | 21 |
| 2016 | $7.1K | $565.43 | 12.64x | $6.6K | $1.6M | 2.9K | 20 |
| 2017 | $8.0K | $614.54 | 12.94x | $7.3K | $2.3M | 3.8K | 23 |
| 2018 | $8.7K | $673.63 | 12.97x | $8.1K | $3.2M | 4.7K | 22 |
| 2019 | $9.7K | $739.53 | 13.06x | $8.9K | $3.7M | 5.1K | 20 |
| 2020 | $10.7K | $852.85 | 12.56x | $9.9K | $2.9M | 3.4K | 22 |
| 2021 | $11.4K | $896.15 | 12.74x | $10.5K | $3.1M | 3.5K | 19 |
| 2022 | $11.9K | $786.80 | 15.11x | $11.1K | $2.8M | 3.5K | 20 |
| 2023 | $4.5K | $296.69 | 15.30x | $4.2K | $3.0M | 10.1K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 22.7K | $16.5M | $726.93 | 14.16x |
| 33264 | Removal and replacement of defibrillator pulse generator, multiple wires (leads) | 44 | $864.1K | $19.6K | 3.94x |
| 33285 | Insertion of heart rhythm monitor under skin | 162 | $822.2K | $5.1K | 4.97x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 848 | $617.5K | $728.24 | 14.03x |
| V2785 | Processing, preserving and transporting corneal tissue | 155 | $551.9K | $3.6K | 2.33x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.6K | $485.1K | $305.46 | 21.03x |
| 0191T | Internal insertion of eye fluid drainage device | 251 | $457.1K | $1.8K | 6.89x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 75 | $422.9K | $5.6K | 6.24x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 1.7K | $373.8K | $221.21 | 28.62x |
| 47562 | Removal of gallbladder using an endoscope | 233 | $345.6K | $1.5K | 12.68x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 828 | $289.7K | $349.89 | 19.15x |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 1.1K | $286.4K | $263.72 | 22.62x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 549 | $218.1K | $397.32 | 15.71x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 157 | $212.9K | $1.4K | 9.97x |
| 65756 | Transplantation of outer layer of corneal tissue | 154 | $205.0K | $1.3K | 6.80x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 137 | $185.2K | $1.4K | 13.20x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 135 | $178.8K | $1.3K | 7.07x |
| 49650 | Repair of groin hernia using an endoscope | 134 | $167.1K | $1.2K | 9.56x |
| 36561 | Insertion of central venous tube with port (5 years or older) | 135 | $130.3K | $965.20 | 8.17x |
| 62311 | Injections of substances into lower or sacral spine | 487 | $129.2K | $265.22 | 5.25x |
This provider submits charges 13.11 times higher than what Medicare actually pays.
A markup ratio of 13.11x means for every $100 Medicare pays, this provider initially charges $1311. 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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