This provider's $22.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.02x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 454% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2018
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 | $3.9K | $726.91 | 5.41x | $3.2K | $913.7K | 1.3K | 20 |
| 2015 | $3.9K | $689.98 | 5.69x | $3.2K | $832.8K | 1.2K | 18 |
| 2016 | $4.2K | $746.28 | 5.64x | $3.5K | $952.3K | 1.3K | 21 |
| 2017 | $4.2K | $652.16 | 6.39x | $3.5K | $951.5K | 1.5K | 22 |
| 2018 | $6.3K | $1.4K | 4.65x | $4.9K | $1.9M | 1.4K | 22 |
| 2019 | $7.0K | $1.6K | 4.26x | $5.3K | $2.9M | 1.8K | 24 |
| 2020 | $7.3K | $1.6K | 4.68x | $5.7K | $2.4M | 1.5K | 27 |
| 2021 | $8.0K | $1.7K | 4.63x | $6.2K | $3.0M | 1.7K | 25 |
| 2022 | $10.1K | $1.8K | 5.66x | $8.3K | $3.9M | 2.2K | 27 |
| 2023 | $9.5K | $1.9K | 4.92x | $7.6K | $5.1M | 2.6K | 31 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 393 | $6.8M | $17.2K | 2.24x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 645 | $2.2M | $3.3K | 6.05x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 933 | $1.9M | $2.0K | 4.30x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.2K | $1.7M | $1.4K | 5.80x |
| 64721 | Release and/or relocation of hand nerve | 2.2K | $1.2M | $533.56 | 7.81x |
| 26055 | Incision of tendon covering of finger | 2.1K | $867.3K | $415.17 | 6.28x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 58 | $791.7K | $13.6K | 3.82x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 783 | $606.9K | $775.07 | 6.50x |
| 25447 | Removal of bone joints between wrist and fingers | 682 | $489.5K | $717.76 | 6.22x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 71 | $470.5K | $6.6K | 5.57x |
| 27446 | Replacement of knee joint on side of knee | 80 | $467.4K | $5.8K | 3.31x |
| 27447 | Replacement of knee joint, both sides of knee | 69 | $449.8K | $6.5K | 4.35x |
| 26480 | Transfer of tendon to back of hand | 599 | $411.9K | $687.68 | 5.58x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 597 | $404.4K | $677.39 | 10.82x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 112 | $332.9K | $3.0K | 3.84x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 100 | $310.6K | $3.1K | 6.04x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 573 | $301.4K | $525.98 | 17.38x |
| 29881 | Removal of knee cartilage using an endoscope | 322 | $289.9K | $900.45 | 7.98x |
| 28285 | Correction of toe joint deformity | 349 | $204.8K | $586.88 | 6.62x |
| 29880 | Removal of both knee cartilages using an endoscope | 221 | $199.9K | $904.72 | 7.99x |
This provider submits charges 5.02 times higher than what Medicare actually pays.
A markup ratio of 5.02x means for every $100 Medicare pays, this provider initially charges $502. 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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