This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 54% 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 | $3.0K | $1.0K | 2.93x | $2.0K | $380.9K | 417 | 388 |
| 2015 | $2.9K | $894.75 | 3.29x | $2.1K | $375.1K | 438 | 410 |
| 2016 | $2.9K | $860.92 | 3.42x | $2.1K | $365.0K | 429 | 408 |
| 2017 | $3.1K | $803.66 | 3.80x | $2.3K | $465.7K | 609 | 579 |
| 2018 | $3.2K | $907.25 | 3.47x | $2.2K | $530.4K | 654 | 636 |
| 2019 | $3.4K | $1.0K | 3.34x | $2.4K | $557.7K | 663 | 628 |
| 2020 | $3.5K | $885.81 | 3.90x | $2.6K | $488.3K | 559 | 528 |
| 2021 | $5.8K | $1.1K | 5.45x | $4.7K | $556.7K | 593 | 570 |
| 2022 | $7.1K | $1.2K | 6.09x | $6.0K | $600.2K | 615 | 599 |
| 2023 | $6.5K | $958.72 | 6.78x | $5.5K | $585.2K | 716 | 688 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 507 | $927.0K | $1.8K | 3.06x |
| 29848 | Release of wrist ligament using an endoscope | 1.1K | $661.3K | $578.09 | 8.34x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 215 | $613.9K | $2.9K | 2.29x |
| 26055 | Incision of tendon covering | 1.0K | $437.3K | $431.30 | 5.75x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 162 | $417.6K | $2.6K | 2.06x |
| 29880 | Removal of both knee cartilages using an endoscope | 220 | $206.5K | $938.53 | 5.58x |
| 29881 | Removal of one knee cartilage using an endoscope | 202 | $186.8K | $924.57 | 5.51x |
| 20680 | Removal of deep bone implant | 205 | $153.3K | $748.01 | 4.69x |
| 25447 | Removal of bone joints between wrist and fingers | 196 | $151.8K | $774.73 | 7.67x |
| 28285 | Correction of toe joint deformity | 245 | $135.4K | $552.61 | 6.47x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 61 | $130.3K | $2.1K | 3.23x |
| 64721 | Release and/or relocation of median nerve of hand | 227 | $122.4K | $539.16 | 5.60x |
| 26480 | Transplant of tendon of hand | 124 | $99.2K | $799.90 | 5.90x |
| 28308 | Incision to straighten toe bone | 112 | $74.8K | $668.20 | 5.51x |
| 28750 | Fusion of great toe | 23 | $69.7K | $3.0K | 2.45x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 131 | $68.1K | $520.18 | 8.23x |
| 19301 | Partial removal of breast | 97 | $67.8K | $698.72 | 4.31x |
| 26121 | Removal of tissue of palm | 65 | $62.4K | $960.12 | 6.51x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 116 | $59.4K | $511.96 | 7.27x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 101 | $55.5K | $549.34 | 8.49x |
This provider submits charges 4.86 times higher than what Medicare actually pays.
A markup ratio of 4.86x means for every $100 Medicare pays, this provider initially charges $486. 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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