This provider's $7.3M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.43x is significantly above the specialty median of 6.1x.
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 | $2.3K | $405.06 | 5.66x | $1.9K | $583.0K | 1.2K | 882 |
| 2015 | $2.9K | $481.92 | 5.95x | $2.4K | $667.2K | 1.3K | 951 |
| 2016 | $4.4K | $822.82 | 5.36x | $3.6K | $715.6K | 1.2K | 882 |
| 2017 | $4.6K | $778.87 | 5.90x | $3.8K | $793.0K | 1.2K | 966 |
| 2018 | $4.4K | $792.94 | 5.53x | $3.6K | $860.4K | 1.4K | 1.1K |
| 2019 | $5.4K | $819.67 | 6.60x | $4.6K | $695.3K | 1.2K | 892 |
| 2020 | $6.3K | $1.0K | 6.18x | $5.3K | $650.6K | 915 | 705 |
| 2021 | $6.2K | $1.1K | 5.81x | $5.2K | $664.7K | 924 | 692 |
| 2022 | $9.5K | $2.0K | 4.76x | $7.5K | $868.0K | 815 | 618 |
| 2023 | $13.2K | $2.8K | 4.66x | $10.4K | $790.6K | 647 | 473 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.1K | $3.7M | $727.45 | 6.77x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 145 | $835.1K | $5.8K | 5.89x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 24 | $426.3K | $17.8K | 3.66x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 175 | $334.1K | $1.9K | 5.45x |
| 28285 | Correction of toe joint deformity | 396 | $213.9K | $540.27 | 5.36x |
| 66982 | Removal of cataract with insertion of lens | 282 | $206.8K | $733.23 | 6.80x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 884 | $189.1K | $213.89 | 14.08x |
| 28296 | Correction of bunion | 204 | $185.7K | $910.28 | 3.59x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 84 | $177.3K | $2.1K | 5.61x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 421 | $143.9K | $341.72 | 5.63x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 770 | $140.9K | $183.01 | 5.79x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 485 | $119.6K | $246.59 | 9.07x |
| 62311 | Injections of substances into lower or sacral spine | 431 | $105.9K | $245.76 | 9.80x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 220 | $72.9K | $331.27 | 5.14x |
| 64721 | Release and/or relocation of median nerve of hand | 125 | $71.4K | $570.88 | 6.15x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 142 | $65.3K | $459.57 | 4.75x |
| 28308 | Incision to straighten toe bone | 90 | $64.5K | $716.57 | 4.24x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 150 | $51.7K | $344.69 | 4.97x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 215 | $47.3K | $220.09 | 6.88x |
| 45380 | Biopsy of large bowel using an endoscope | 148 | $41.3K | $278.99 | 6.72x |
This provider submits charges 6.43 times higher than what Medicare actually pays.
A markup ratio of 6.43x means for every $100 Medicare pays, this provider initially charges $643. 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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