This provider's $45.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $1.8K | $588.05 | 3.00x | $1.2K | $3.7M | 6.2K | 20 |
| 2015 | $1.8K | $624.30 | 2.95x | $1.2K | $5.1M | 8.1K | 26 |
| 2016 | $1.9K | $636.45 | 3.04x | $1.3K | $5.4M | 8.5K | 25 |
| 2017 | $1.6K | $552.93 | 2.93x | $1.1K | $6.3M | 11.3K | 32 |
| 2018 | $1.8K | $566.06 | 3.12x | $1.2K | $4.9M | 8.6K | 32 |
| 2019 | $1.8K | $531.60 | 3.30x | $1.2K | $4.5M | 8.4K | 29 |
| 2020 | $1.8K | $546.42 | 3.21x | $1.2K | $3.6M | 6.6K | 23 |
| 2021 | $1.6K | $536.50 | 2.95x | $1.0K | $4.1M | 7.6K | 25 |
| 2022 | $1.3K | $439.92 | 2.87x | $821.36 | $4.0M | 9.1K | 23 |
| 2023 | $1.2K | $438.03 | 2.81x | $793.48 | $3.9M | 8.9K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 34.4K | $24.7M | $719.24 | 2.86x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 6.2K | $2.7M | $436.83 | 4.23x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 11.9K | $2.2M | $185.57 | 4.53x |
| 0191T | Internal insertion of eye fluid drainage device | 1.2K | $1.9M | $1.6K | 2.24x |
| V2785 | Processing, preserving and transporting corneal tissue | 586 | $1.8M | $3.1K | 1.30x |
| 67904 | Repair of tendon of upper eyelid | 3.8K | $1.8M | $469.86 | 3.63x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 733 | $987.1K | $1.3K | 2.57x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 4.4K | $961.6K | $219.75 | 4.77x |
| 65820 | Incision to improve eye fluid flow | 687 | $951.6K | $1.4K | 2.55x |
| 67917 | Extensive repair of turning-outward eyelid defect | 1.8K | $836.0K | $468.61 | 3.62x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 2.1K | $783.1K | $379.23 | 1.30x |
| 65756 | Transplantation of outer layer of corneal tissue | 550 | $713.9K | $1.3K | 2.75x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 783 | $528.7K | $675.19 | 3.04x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 398 | $527.3K | $1.3K | 2.74x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.9K | $451.9K | $76.60 | 2.65x |
| 67900 | Repair of brow paralysis | 804 | $336.2K | $418.19 | 5.19x |
| 67041 | Removal of membrane of retina | 248 | $326.1K | $1.3K | 2.63x |
| 68720 | Creation of drainage tract from tear sac to nasal cavity | 362 | $320.1K | $884.25 | 2.57x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 1.1K | $245.7K | $219.16 | 4.77x |
| 67924 | Extensive repair of turning-inward eyelid defect | 434 | $231.0K | $532.37 | 3.22x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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 |
|---|---|---|---|
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ Clear |
Share this provider's Medicare payment information
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