This provider's $6.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.32x 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 | $775.66 | $288.03 | 2.69x | $487.63 | $624.3K | 2.1K | 1.0K |
| 2015 | $1.3K | $303.61 | 4.42x | $1.0K | $607.8K | 1.9K | 972 |
| 2016 | $1.6K | $282.62 | 5.80x | $1.4K | $798.3K | 2.3K | 1.2K |
| 2017 | $1.7K | $280.57 | 6.12x | $1.4K | $661.5K | 2.2K | 1.1K |
| 2018 | $3.3K | $571.83 | 5.73x | $2.7K | $712.8K | 2.2K | 1.2K |
| 2019 | $3.0K | $520.87 | 5.79x | $2.5K | $738.1K | 2.2K | 1.3K |
| 2020 | $1.7K | $306.75 | 5.68x | $1.4K | $527.2K | 1.5K | 1.0K |
| 2021 | $3.3K | $627.56 | 5.29x | $2.7K | $485.0K | 1.2K | 894 |
| 2022 | $3.5K | $635.00 | 5.57x | $2.9K | $459.3K | 1.2K | 931 |
| 2023 | $3.2K | $597.71 | 5.35x | $2.6K | $421.9K | 1.1K | 824 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 3.7K | $1.9M | $521.50 | 5.38x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.7K | $1.2M | $263.60 | 5.02x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.8K | $601.6K | $216.85 | 6.47x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 1.1K | $591.0K | $528.17 | 5.34x |
| 62311 | Injections of substances into lower or sacral spine | 1.6K | $401.1K | $257.30 | 4.57x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.4K | $381.6K | $265.75 | 4.94x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 97 | $327.7K | $3.4K | 5.29x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 975 | $265.3K | $272.08 | 4.82x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 668 | $143.7K | $215.17 | 6.52x |
| 62310 | Injections of substances into upper or middle spine | 416 | $106.5K | $255.97 | 4.57x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 109 | $29.6K | $271.88 | 2.83x |
| 64640 | Destruction of peripheral nerve or branch | 225 | $19.0K | $84.29 | 8.49x |
| 64624 | Destruction of genicular nerve branches of knee by injection using imaging guidance | 15 | $9.1K | $606.24 | 2.23x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 25 | $6.1K | $244.09 | 5.75x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 86 | $2.6K | $30.17 | 29.83x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 13 | $1.5K | $112.60 | 4.83x |
| 64418 | Injection of anesthetic agent, collar bone nerve | 13 | $477.24 | $36.71 | 11.60x |
This provider submits charges 5.32 times higher than what Medicare actually pays.
A markup ratio of 5.32x means for every $100 Medicare pays, this provider initially charges $532. 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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