This provider's $23.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.51x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 86% 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 | $2.8K | $431.89 | 6.57x | $2.4K | $2.0M | 4.7K | 24 |
| 2015 | $2.8K | $440.63 | 6.34x | $2.4K | $2.2M | 5.0K | 27 |
| 2016 | $2.7K | $428.30 | 6.34x | $2.3K | $2.1M | 4.9K | 28 |
| 2017 | $2.7K | $424.42 | 6.37x | $2.3K | $2.0M | 4.7K | 26 |
| 2018 | $2.8K | $409.93 | 6.77x | $2.4K | $1.9M | 4.6K | 27 |
| 2019 | $3.0K | $442.24 | 6.88x | $2.6K | $1.8M | 4.1K | 22 |
| 2020 | $2.5K | $370.45 | 6.63x | $2.1K | $2.0M | 5.4K | 26 |
| 2021 | $4.0K | $633.74 | 6.26x | $3.3K | $3.0M | 4.7K | 31 |
| 2022 | $2.8K | $405.80 | 6.99x | $2.4K | $3.2M | 7.8K | 31 |
| 2023 | $3.4K | $556.70 | 6.18x | $2.9K | $3.7M | 6.7K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 12.3K | $8.8M | $711.30 | 6.06x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 6.8K | $2.3M | $344.86 | 6.76x |
| 27447 | Replacement of knee joint, both sides of knee | 246 | $1.6M | $6.4K | 5.82x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 4.3K | $1.3M | $289.09 | 8.06x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 5.5K | $1.1M | $199.64 | 10.50x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.0K | $644.7K | $323.17 | 7.23x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 206 | $616.8K | $3.0K | 3.27x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 954 | $419.1K | $439.31 | 7.22x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 249 | $415.8K | $1.7K | 6.57x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.4K | $414.5K | $76.73 | 11.81x |
| 0191T | Internal insertion of eye fluid drainage device | 258 | $405.8K | $1.6K | 2.61x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 722 | $344.5K | $477.15 | 5.03x |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 1.4K | $325.2K | $235.15 | 9.93x |
| 23430 | Anchoring of biceps tendon | 183 | $286.8K | $1.6K | 5.15x |
| 49650 | Repair of groin hernia using an endoscope | 197 | $282.7K | $1.4K | 6.79x |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 1.1K | $270.2K | $253.47 | 9.20x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 801 | $255.7K | $319.23 | 7.30x |
| 49505 | Repair of groin hernia (5 years or older) | 270 | $254.5K | $942.61 | 3.41x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 288 | $250.7K | $870.47 | 4.19x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 338 | $240.9K | $712.68 | 6.13x |
This provider submits charges 6.51 times higher than what Medicare actually pays.
A markup ratio of 6.51x means for every $100 Medicare pays, this provider initially charges $651. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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