This provider's $3.4M in total Medicare payments ranks in the 90th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 70% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 79% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.3K | $452.44 | 5.09x | $1.9K | $224.3K | 529 | 430 |
| 2015 | $2.7K | $599.70 | 4.44x | $2.1K | $238.5K | 495 | 419 |
| 2016 | $2.7K | $559.13 | 4.89x | $2.2K | $217.7K | 464 | 397 |
| 2017 | $2.7K | $561.78 | 4.81x | $2.1K | $174.1K | 393 | 327 |
| 2018 | $3.4K | $694.90 | 4.90x | $2.7K | $311.6K | 533 | 458 |
| 2019 | $3.8K | $666.47 | 5.71x | $3.1K | $509.6K | 759 | 551 |
| 2020 | $3.8K | $699.65 | 5.43x | $3.1K | $428.8K | 609 | 446 |
| 2021 | $4.2K | $763.69 | 5.47x | $3.4K | $523.7K | 709 | 521 |
| 2022 | $5.0K | $783.39 | 6.37x | $4.2K | $436.7K | 574 | 431 |
| 2023 | $4.9K | $801.42 | 6.11x | $4.1K | $382.0K | 491 | 386 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 1.9K | $1.4M | $742.92 | 9.70x |
| 19301 | Partial removal of breast | 617 | $364.6K | $591.00 | 6.33x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 347 | $275.1K | $792.77 | 4.45x |
| 19125 | Removal of breast growth, open procedure | 283 | $224.7K | $794.06 | 4.51x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 281 | $148.5K | $528.48 | 6.01x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 177 | $141.2K | $797.64 | 3.85x |
| 62311 | Injections of substances into lower or sacral spine | 434 | $108.4K | $249.69 | 4.66x |
| 21235 | Obtaining ear cartilage for grafting | 78 | $92.3K | $1.2K | 2.39x |
| 66982 | Removal of cataract with insertion of lens | 113 | $84.1K | $744.41 | 7.60x |
| 15630 | Transfer of skin flap to eyelids, nose, ears, or lips | 143 | $79.3K | $554.26 | 5.45x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 54 | $79.0K | $1.5K | 3.97x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 155 | $76.9K | $496.44 | 6.46x |
| 36571 | Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older | 66 | $63.3K | $959.29 | 4.26x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 281 | $55.9K | $198.82 | 6.73x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 38 | $53.5K | $1.4K | 6.39x |
| 62310 | Injections of substances into upper or middle spine | 95 | $21.9K | $230.21 | 5.20x |
| 19303 | Simple complete removal of breast | 12 | $19.2K | $1.6K | 2.74x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 196 | $18.1K | $92.14 | 29.26x |
| 19120 | Removal of 1 or more breast growth, open procedure | 24 | $16.5K | $687.17 | 4.68x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 16 | $14.5K | $906.69 | 3.96x |
This provider submits charges 7.18 times higher than what Medicare actually pays.
A markup ratio of 7.18x means for every $100 Medicare pays, this provider initially charges $718. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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