This provider's $7.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.7x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 119% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 80% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $1.1K | $144.21 | 7.90x | $994.40 | $1.5M | 10.7K | 10 |
| 2022 | $901.33 | $114.60 | 7.87x | $786.73 | $2.8M | 24.3K | 17 |
| 2023 | $1.2K | $161.57 | 7.46x | $1.0K | $3.4M | 20.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 138 | $2.5M | $18.1K | 3.88x |
| 27447 | Replacement of knee joint, both sides of knee | 140 | $948.3K | $6.8K | 11.14x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 193 | $687.7K | $3.6K | 4.25x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 91 | $627.0K | $6.9K | 11.00x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 567 | $440.0K | $775.98 | 13.02x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 200 | $378.2K | $1.9K | 11.12x |
| 27446 | Replacement of knee joint on side of knee | 52 | $339.2K | $6.5K | 7.70x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 72 | $282.1K | $3.9K | 6.78x |
| 22869 | Placement of stabilizing device to lower spine level | 34 | $269.9K | $7.9K | 5.16x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 92 | $205.3K | $2.2K | 8.59x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 17 | $165.1K | $9.7K | 8.72x |
| 0775T | Fusion of sacroiliac joint between spine and pelvis with bone graft, accessed through skin using imaging guidance | 16 | $156.7K | $9.8K | 5.40x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 221 | $138.0K | $624.50 | 20.16x |
| 29880 | Removal of both knee cartilages using an endoscope | 99 | $102.3K | $1.0K | 12.21x |
| 64721 | Release and/or relocation of hand nerve | 118 | $69.1K | $585.22 | 13.65x |
| 29881 | Removal of knee cartilage using an endoscope | 61 | $61.4K | $1.0K | 12.47x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 52.7K | $55.8K | $1.06 | 2.71x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 104 | $51.7K | $496.82 | 11.06x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 629 | $47.7K | $75.86 | 2.68x |
| 26055 | Incision of tendon covering of finger | 111 | $47.5K | $428.24 | 17.00x |
This provider submits charges 7.7 times higher than what Medicare actually pays.
A markup ratio of 7.7x means for every $100 Medicare pays, this provider initially charges $770. 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 |
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