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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Birmingham Outpatient Surgery Center Ltd
🔪
Organization

Birmingham Outpatient Surgery Center Ltd

NPI: 1285690073
Birmingham, AL
10 years of data
Ambulatory Surgical Center
$23.2M
Total Payments
19.5K
Beneficiaries
26.7K
Services
6.89x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$23.2M
Specialty median$657.1K

📋 Key Findings

1Billed $23.2M over 10 years
26.89x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
419 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $23.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.

Their average markup ratio of 6.89x is significantly above the specialty median of 6.1x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$7.4K$1.6K4.68x$5.8K$2.4M3.6K2.6K
2015$7.4K$1.7K4.45x$5.7K$2.8M3.9K2.8K
2016$8.2K$1.8K4.51x$6.4K$2.9M3.8K2.7K
2017$6.4K$1.2K5.51x$5.2K$1.8M2.8K1.9K
2018$7.0K$1.4K4.95x$5.5K$1.6M2.6K1.8K
2019$9.3K$1.7K5.38x$7.6K$2.3M2.6K1.9K
2020$10.3K$2.0K5.25x$8.4K$2.5M2.3K1.7K
2021$10.9K$2.1K5.21x$8.8K$2.6M1.9K1.4K
2022$11.5K$2.2K5.30x$9.3K$2.2M1.6K1.3K
2023$12.1K$2.2K5.48x$9.9K$2.2M1.5K1.2K

Top Procedures (20)

66984Removal of cataract with insertion of lens⚠ 9.0x markup
$9.1M
13.3K services$685.87/svc8.99x markup
69930Implantation of cochlear device⚠ 3.1x markup
$5.6M
268 services$21.0K/svc3.14x markup
63685Insertion of spinal neurostimulator pulse generator or receiver⚠ 4.6x markup
$2.5M
168 services$15.1K/svc4.60x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance⚠ 13.5x markup
$575.5K
2.4K services$243.33/svc13.54x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skin⚠ 4.1x markup
$514.5K
167 services$3.1K/svc4.07x markup
62311Injections of substances into lower or sacral spine⚠ 7.1x markup
$440.3K
1.8K services$239.95/svc7.10x markup
29828Release of shoulder biceps tendon using an endoscope⚠ 4.1x markup
$422.9K
243 services$1.7K/svc4.13x markup
29827Repair of shoulder rotator cuff using an endoscope⚠ 7.2x markup
$358.6K
273 services$1.3K/svc7.23x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance⚠ 9.2x markup
$356.9K
1.7K services$205.34/svc9.21x markup
66982Removal of cataract with insertion of lens⚠ 7.8x markup
$270.2K
388 services$696.44/svc7.80x markup
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
$252.5K
81 services$3.1K/svc2.65x markup
64493Injections of lower or sacral spine facet joint using imaging guidance⚠ 8.7x markup
$158.9K
720 services$220.75/svc8.70x markup
29880Removal of both knee cartilages using an endoscope⚠ 11.0x markup
$143.3K
167 services$858.03/svc10.99x markup
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance⚠ 12.7x markup
$142.9K
581 services$245.94/svc12.71x markup
69436Incision of eardrum with insertion of eardrum tube under general anesthesia⚠ 12.8x markup
$137.0K
377 services$363.46/svc12.77x markup
22514Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance⚠ 8.4x markup
$133.7K
62 services$2.2K/svc8.40x markup
31276Exploration of nasal sinus using an endoscope⚠ 5.6x markup
$133.5K
147 services$908.17/svc5.60x markup
30520Reshaping of nasal cartilage⚠ 6.8x markup
$119.7K
202 services$592.59/svc6.78x markup
64721Release and/or relocation of median nerve of hand⚠ 9.8x markup
$103.6K
200 services$518.12/svc9.76x markup
31267Removal of nasal sinus tissue using an endoscope⚠ 7.6x markup
$99.9K
150 services$666.30/svc7.56x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
66984Removal of cataract with insertion of lens13.3K$9.1M$685.878.99x
69930Implantation of cochlear device268$5.6M$21.0K3.14x
63685Insertion of spinal neurostimulator pulse generator or receiver168$2.5M$15.1K4.60x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance2.4K$575.5K$243.3313.54x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin167$514.5K$3.1K4.07x
62311Injections of substances into lower or sacral spine1.8K$440.3K$239.957.10x
29828Release of shoulder biceps tendon using an endoscope243$422.9K$1.7K4.13x
29827Repair of shoulder rotator cuff using an endoscope273$358.6K$1.3K7.23x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance1.7K$356.9K$205.349.21x
66982Removal of cataract with insertion of lens388$270.2K$696.447.80x
0275TRemoval of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin81$252.5K$3.1K2.65x
64493Injections of lower or sacral spine facet joint using imaging guidance720$158.9K$220.758.70x
29880Removal of both knee cartilages using an endoscope167$143.3K$858.0310.99x
64479Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance581$142.9K$245.9412.71x
69436Incision of eardrum with insertion of eardrum tube under general anesthesia377$137.0K$363.4612.77x
22514Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance62$133.7K$2.2K8.40x
31276Exploration of nasal sinus using an endoscope147$133.5K$908.175.60x
30520Reshaping of nasal cartilage202$119.7K$592.596.78x
64721Release and/or relocation of median nerve of hand200$103.6K$518.129.76x
31267Removal of nasal sinus tissue using an endoscope150$99.9K$666.307.56x

Markup Analysis

Charge-to-Payment Ratio

6.89x

This provider submits charges 6.89 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.89x means for every $100 Medicare pays, this provider initially charges $689. This is higher than the national average.

Location

Birmingham, AL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in AL for peer comparison.

Birmingham Outpatient Surgery Center Ltd (you)
$23.2M
Surgery Center Jv
$42.9M
Southern Alabama Surgery Center Llc
$42.8M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Surgery Center JvHuntsville, AL$42.9M✓ Clear
Southern Alabama Surgery Center LlcDothan, AL$42.8M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data