This provider's $19.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.86x is significantly above the specialty median of 6.1x.
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 | $3.7K | $736.16 | 5.03x | $3.0K | $2.6M | 3.8K | 2.8K |
| 2015 | $3.8K | $821.98 | 4.63x | $3.0K | $2.5M | 3.6K | 2.7K |
| 2016 | $3.8K | $713.30 | 5.34x | $3.1K | $2.4M | 3.5K | 2.6K |
| 2017 | $4.2K | $745.88 | 5.60x | $3.4K | $2.2M | 3.1K | 2.3K |
| 2018 | $5.2K | $950.80 | 5.46x | $4.2K | $1.8M | 2.4K | 1.8K |
| 2019 | $5.9K | $957.62 | 6.11x | $4.9K | $1.7M | 2.2K | 1.7K |
| 2020 | $7.2K | $1.1K | 6.29x | $6.1K | $1.8M | 2.2K | 1.7K |
| 2021 | $6.7K | $1.1K | 6.11x | $5.6K | $1.7M | 2.2K | 1.6K |
| 2022 | $6.7K | $1.2K | 5.53x | $5.5K | $1.6M | 1.9K | 1.5K |
| 2023 | $6.7K | $1.3K | 5.21x | $5.4K | $1.3M | 1.4K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.5K | $8.5M | $682.46 | 6.23x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 930 | $1.6M | $1.7K | 3.86x |
| 27446 | Repair of knee joint | 236 | $1.3M | $5.7K | 5.43x |
| 0191T | Internal insertion of eye fluid drainage device | 647 | $1.1M | $1.6K | 2.89x |
| 64721 | Release and/or relocation of median nerve of hand | 1.2K | $640.9K | $521.03 | 6.30x |
| 27447 | Repair of knee joint | 82 | $503.6K | $6.1K | 6.79x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 659 | $444.9K | $675.12 | 8.50x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 221 | $394.2K | $1.8K | 3.23x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 73 | $339.6K | $4.7K | 5.68x |
| 26055 | Incision of tendon covering | 755 | $318.2K | $421.51 | 5.28x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 128 | $294.4K | $2.3K | 4.09x |
| 29881 | Removal of one knee cartilage using an endoscope | 324 | $280.0K | $864.34 | 6.26x |
| 66982 | Removal of cataract with insertion of lens | 404 | $275.2K | $681.28 | 6.29x |
| 25447 | Removal of bone joints between wrist and fingers | 253 | $207.6K | $820.56 | 5.35x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 442 | $186.4K | $421.77 | 10.32x |
| 65820 | Incision to improve eye fluid flow | 137 | $169.9K | $1.2K | 2.75x |
| 19301 | Partial removal of breast | 224 | $154.1K | $687.81 | 5.08x |
| 29880 | Removal of both knee cartilages using an endoscope | 169 | $146.2K | $864.81 | 6.18x |
| 28285 | Correction of toe joint deformity | 267 | $142.7K | $534.42 | 6.27x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 390 | $130.6K | $334.87 | 9.75x |
This provider submits charges 5.86 times higher than what Medicare actually pays.
A markup ratio of 5.86x means for every $100 Medicare pays, this provider initially charges $586. 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 |
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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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