This provider's $8.8M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.91x 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 | $8.7K | $1.3K | 6.59x | $7.4K | $837.4K | 784 | 743 |
| 2015 | $8.5K | $751.32 | 11.31x | $7.7K | $680.9K | 893 | 828 |
| 2016 | $9.7K | $762.92 | 12.68x | $8.9K | $703.0K | 863 | 798 |
| 2017 | $10.2K | $716.64 | 14.27x | $9.5K | $676.7K | 771 | 731 |
| 2018 | $11.2K | $733.34 | 15.24x | $10.4K | $676.1K | 761 | 720 |
| 2019 | $12.4K | $766.17 | 16.19x | $11.6K | $679.3K | 776 | 744 |
| 2020 | $15.3K | $1.5K | 10.05x | $13.8K | $932.2K | 658 | 645 |
| 2021 | $14.5K | $1.5K | 9.83x | $13.0K | $1.1M | 753 | 724 |
| 2022 | $15.2K | $1.5K | 9.82x | $13.7K | $1.4M | 819 | 779 |
| 2023 | $17.5K | $1.8K | 9.47x | $15.6K | $1.2M | 739 | 710 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67042 | Removal of membrane from the retina, pars plana approach | 1.4K | $1.8M | $1.3K | 11.83x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 121 | $1.6M | $13.3K | 2.90x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 737 | $972.4K | $1.3K | 9.15x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 413 | $667.6K | $1.6K | 10.35x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 407 | $524.2K | $1.3K | 8.51x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 318 | $420.1K | $1.3K | 11.80x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 83 | $320.9K | $3.9K | 7.17x |
| 67041 | Removal of membrane from the retina | 184 | $224.3K | $1.2K | 9.50x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 108 | $211.7K | $2.0K | 9.57x |
| 29880 | Removal of both knee cartilages using an endoscope | 172 | $152.5K | $886.43 | 23.30x |
| 45380 | Biopsy of large bowel using an endoscope | 461 | $146.8K | $318.52 | 32.78x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 218 | $140.5K | $644.48 | 24.33x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 381 | $135.6K | $355.81 | 35.33x |
| 64721 | Release and/or relocation of median nerve of hand | 258 | $133.4K | $516.87 | 20.17x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 32 | $112.5K | $3.5K | 5.85x |
| 29848 | Release of wrist ligament using an endoscope | 217 | $107.7K | $496.30 | 25.79x |
| 26055 | Incision of tendon covering | 231 | $98.8K | $427.55 | 21.08x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 312 | $89.2K | $285.83 | 18.73x |
| 29881 | Removal of one knee cartilage using an endoscope | 100 | $87.2K | $871.71 | 21.27x |
| 46260 | Removal of multiple internal and external hemorrhoids | 96 | $81.2K | $846.34 | 9.39x |
This provider submits charges 10.91 times higher than what Medicare actually pays.
A markup ratio of 10.91x means for every $100 Medicare pays, this provider initially charges $1091. 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 |
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