This provider's $10.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 484% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2015
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 | $3.1K | $567.09 | 5.39x | $2.5K | $367.4K | 657 | 634 |
| 2015 | $3.7K | $775.90 | 4.81x | $3.0K | $626.0K | 866 | 830 |
| 2016 | $3.5K | $668.19 | 5.28x | $2.9K | $719.9K | 1.1K | 1.1K |
| 2017 | $3.5K | $656.58 | 5.40x | $2.9K | $736.5K | 1.2K | 1.1K |
| 2018 | $3.6K | $692.04 | 5.25x | $2.9K | $679.1K | 942 | 906 |
| 2019 | $3.9K | $763.13 | 5.13x | $3.1K | $739.8K | 905 | 880 |
| 2020 | $4.2K | $1.0K | 4.20x | $3.2K | $812.3K | 900 | 871 |
| 2021 | $5.5K | $1.4K | 4.03x | $4.1K | $1.4M | 888 | 860 |
| 2022 | $6.4K | $1.4K | 4.64x | $5.1K | $1.9M | 958 | 926 |
| 2023 | $5.8K | $1.2K | 4.64x | $4.5K | $2.1M | 1.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 393 | $2.6M | $6.6K | 3.89x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 880 | $1.4M | $1.6K | 4.45x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 452 | $927.4K | $2.1K | 3.37x |
| 64721 | Release and/or relocation of median nerve of hand | 1.3K | $709.0K | $560.03 | 4.09x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 92 | $629.3K | $6.8K | 4.16x |
| 29880 | Removal of both knee cartilages using an endoscope | 486 | $459.4K | $945.27 | 3.81x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 136 | $385.9K | $2.8K | 3.34x |
| 26055 | Incision of tendon covering | 916 | $377.8K | $412.49 | 5.59x |
| 25447 | Removal of bone joints between wrist and fingers | 448 | $311.3K | $694.78 | 7.20x |
| 26480 | Transplant of tendon of hand | 305 | $283.8K | $930.60 | 3.76x |
| 29881 | Removal of one knee cartilage using an endoscope | 250 | $235.0K | $939.81 | 3.83x |
| 26160 | Removal of growth of tendon finger or hand | 360 | $186.4K | $517.82 | 5.11x |
| 26123 | Removal of tissue of palm | 220 | $179.1K | $814.20 | 4.30x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 273 | $168.2K | $616.01 | 10.68x |
| 20680 | Removal of deep bone implant | 228 | $166.1K | $728.42 | 3.87x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 213 | $139.9K | $656.78 | 5.48x |
| 26460 | Incision of tendon of hand or finger, open procedure | 419 | $111.6K | $266.45 | 8.32x |
| 29879 | Repair of knee joint using an endoscope | 194 | $92.0K | $474.45 | 7.62x |
| 26860 | Fusion of finger joint | 89 | $84.8K | $952.47 | 3.67x |
| 25310 | Relocation of tendon of forearm and/or wrist | 155 | $83.2K | $536.70 | 7.32x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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