This provider's $23.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.75x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 189% from 2014 to 2023.
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 | $2.6K | $405.29 | 6.38x | $2.2K | $1.4M | 3.4K | 23 |
| 2015 | $2.6K | $406.71 | 6.46x | $2.2K | $1.4M | 3.5K | 24 |
| 2016 | $2.7K | $421.63 | 6.44x | $2.3K | $1.5M | 3.6K | 25 |
| 2017 | $2.8K | $438.45 | 6.42x | $2.4K | $1.7M | 3.8K | 25 |
| 2018 | $2.3K | $374.78 | 6.26x | $2.0K | $2.2M | 5.8K | 30 |
| 2019 | $1.4K | $216.88 | 6.54x | $1.2K | $2.6M | 11.9K | 33 |
| 2020 | $1.0K | $166.98 | 6.04x | $841.90 | $2.3M | 14.1K | 27 |
| 2021 | $806.61 | $142.69 | 5.65x | $663.92 | $2.5M | 17.4K | 31 |
| 2022 | $720.24 | $148.77 | 4.84x | $571.47 | $3.4M | 22.9K | 27 |
| 2023 | $2.4K | $514.65 | 4.62x | $1.9K | $4.0M | 7.7K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 9.9K | $7.3M | $735.47 | 4.48x |
| 27447 | Replacement of knee joint, both sides of knee | 333 | $2.2M | $6.6K | 4.03x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 9.2K | $2.2M | $234.67 | 7.92x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 150 | $1.0M | $6.7K | 3.96x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 4.4K | $897.8K | $203.90 | 8.22x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 410 | $753.4K | $1.8K | 4.07x |
| 29848 | Release of wrist ligament using an endoscope | 1.1K | $606.6K | $552.45 | 11.39x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 2.6K | $594.6K | $225.39 | 8.30x |
| 26055 | Incision of tendon covering of finger | 1.2K | $471.2K | $402.75 | 9.51x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 594 | $446.3K | $751.33 | 4.39x |
| 55700 | Biopsy of prostate gland | 733 | $429.1K | $585.44 | 3.67x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 833 | $408.5K | $490.41 | 9.57x |
| 64721 | Release and/or relocation of hand nerve | 544 | $299.4K | $550.44 | 8.36x |
| 29881 | Removal of knee cartilage using an endoscope | 332 | $295.8K | $890.93 | 6.96x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 186 | $294.1K | $1.6K | 5.37x |
| 28750 | Fusion of big toe at joint with foot | 90 | $271.6K | $3.0K | 2.95x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.2K | $263.1K | $221.29 | 8.63x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 244 | $247.8K | $1.0K | 5.10x |
| 0191T | Internal insertion of eye fluid drainage device | 120 | $243.7K | $2.0K | 2.81x |
| 29880 | Removal of both knee cartilages using an endoscope | 254 | $227.7K | $896.34 | 6.90x |
This provider submits charges 5.75 times higher than what Medicare actually pays.
A markup ratio of 5.75x means for every $100 Medicare pays, this provider initially charges $575. 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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