This provider's $4.8M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.72x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 338% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $15.9K | $1.3K | 12.06x | $14.6K | $509.3K | 867 | 707 |
| 2021 | $16.7K | $1.6K | 10.28x | $15.1K | $759.7K | 1.0K | 821 |
| 2022 | $21.6K | $3.0K | 7.16x | $18.6K | $1.3M | 992 | 824 |
| 2023 | $30.0K | $4.5K | 6.66x | $25.5K | $2.2M | 744 | 664 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 140 | $882.6K | $6.3K | 12.37x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 90 | $717.7K | $8.0K | 4.40x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 37 | $645.9K | $17.5K | 2.92x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 37 | $464.4K | $12.6K | 3.78x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 69 | $400.5K | $5.8K | 8.07x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.4K | $301.3K | $220.40 | 11.51x |
| 27446 | Replacement of knee joint on side of knee | 41 | $251.4K | $6.1K | 9.32x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 30 | $186.0K | $6.2K | 12.58x |
| 66984 | Removal of cataract with insertion of lens | 250 | $185.0K | $739.97 | 9.58x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 93 | $119.6K | $1.3K | 16.28x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 412 | $118.8K | $288.42 | 14.14x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 53 | $99.6K | $1.9K | 11.99x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 408 | $88.0K | $215.75 | 11.75x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 95 | $68.3K | $718.78 | 17.27x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 37 | $59.0K | $1.6K | 14.30x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 38 | $56.4K | $1.5K | 4.85x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 83 | $44.5K | $535.99 | 23.16x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 132 | $35.1K | $266.02 | 15.41x |
| 29881 | Removal of knee cartilage using an endoscope | 22 | $21.7K | $988.44 | 12.40x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 11 | $16.6K | $1.5K | 5.25x |
This provider submits charges 8.72 times higher than what Medicare actually pays.
A markup ratio of 8.72x means for every $100 Medicare pays, this provider initially charges $872. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Surgery Center Jv | Huntsville, AL | $42.9M | ✓ Clear |
| Southern Alabama Surgery Center Llc | Dothan, AL | $42.8M | ✓ 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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