This provider's $21.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 369% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 97% in 2019
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 | $2.2K | $458.78 | 4.76x | $1.7K | $869.4K | 1.9K | 11 |
| 2015 | $2.0K | $326.54 | 6.01x | $1.6K | $692.9K | 2.1K | 12 |
| 2016 | $2.2K | $457.34 | 4.84x | $1.8K | $1.1M | 2.3K | 11 |
| 2017 | $2.2K | $431.67 | 5.03x | $1.7K | $1.2M | 2.8K | 14 |
| 2018 | $2.1K | $396.17 | 5.33x | $1.7K | $1.2M | 2.9K | 13 |
| 2019 | $2.5K | $691.09 | 3.69x | $1.9K | $2.3M | 3.3K | 13 |
| 2020 | $2.9K | $958.08 | 3.06x | $2.0K | $3.0M | 3.1K | 14 |
| 2021 | $3.1K | $1.1K | 2.90x | $2.0K | $3.4M | 3.2K | 15 |
| 2022 | $3.2K | $1.1K | 2.87x | $2.1K | $4.2M | 3.8K | 16 |
| 2023 | $2.8K | $1.0K | 2.73x | $1.8K | $4.1M | 4.0K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 404 | $6.8M | $16.8K | 1.69x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.8K | $5.9M | $3.3K | 1.88x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 7.4K | $1.9M | $262.17 | 6.59x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 6.7K | $1.5M | $222.10 | 7.76x |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 488 | $928.3K | $1.9K | 3.88x |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 132 | $774.1K | $5.9K | 2.16x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 3.3K | $745.8K | $227.24 | 7.61x |
| 62311 | Injections of substances into lower or sacral spine | 2.1K | $540.4K | $253.37 | 6.90x |
| 61886 | Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays | 28 | $502.1K | $17.9K | 1.51x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 2.1K | $470.8K | $222.07 | 7.76x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.0K | $469.9K | $467.57 | 3.81x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 183 | $340.1K | $1.9K | 2.17x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.5K | $296.3K | $201.42 | 8.51x |
| 64721 | Release and/or relocation of hand nerve | 501 | $276.3K | $551.52 | 7.16x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 767 | $184.6K | $240.62 | 7.04x |
| 62310 | Injections of substances into upper or middle spine | 695 | $176.2K | $253.53 | 6.90x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 125 | $59.5K | $476.00 | 3.63x |
| 64718 | Release and/or relocation of elbow nerve | 63 | $26.8K | $425.28 | 11.50x |
| 63042 | Re-exploration of spine repair with release of lower spinal cord or nerves | 13 | $26.3K | $2.0K | 3.27x |
| 63056 | Release of lower spinal cord and/or nerves | 12 | $21.0K | $1.8K | 3.63x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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