This provider's $7.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1553% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 216% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.4K | $667.20 | 3.67x | $1.8K | $92.0K | 190 | 166 |
| 2015 | $4.7K | $1.3K | 3.53x | $3.4K | $278.3K | 267 | 254 |
| 2016 | $5.2K | $1.5K | 3.40x | $3.7K | $360.7K | 323 | 288 |
| 2017 | $4.9K | $1.3K | 3.69x | $3.6K | $517.9K | 433 | 390 |
| 2018 | $6.3K | $1.5K | 4.07x | $4.7K | $794.4K | 546 | 502 |
| 2019 | $5.6K | $1.4K | 3.89x | $4.2K | $876.2K | 622 | 563 |
| 2020 | $5.5K | $1.7K | 3.33x | $3.9K | $510.5K | 354 | 319 |
| 2021 | $8.5K | $3.3K | 2.61x | $5.2K | $582.1K | 290 | 273 |
| 2022 | $10.4K | $3.9K | 2.65x | $6.5K | $1.8M | 620 | 579 |
| 2023 | $9.7K | $3.7K | 2.61x | $6.0K | $1.5M | 558 | 527 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 796 | $1.7M | $2.1K | 4.18x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 71 | $1.3M | $17.8K | 2.06x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 197 | $1.2M | $6.0K | 1.69x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 346 | $701.6K | $2.0K | 4.52x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 47 | $617.2K | $13.1K | 1.84x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 837 | $421.4K | $503.43 | 4.01x |
| 63056 | Release of lower spinal cord and/or nerves | 200 | $420.9K | $2.1K | 4.87x |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | 109 | $229.5K | $2.1K | 4.89x |
| 64721 | Release and/or relocation of median nerve of hand | 247 | $145.3K | $588.34 | 5.54x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 231 | $136.1K | $589.14 | 3.06x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 33 | $116.0K | $3.5K | 2.14x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 44 | $94.7K | $2.2K | 5.20x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 335 | $81.6K | $243.68 | 6.56x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 30 | $63.9K | $2.1K | 5.31x |
| 62270 | Spinal tap for diagnosis | 324 | $62.7K | $193.37 | 6.17x |
| 29848 | Release of wrist ligament using an endoscope | 88 | $58.1K | $660.23 | 5.83x |
| 62328 | Diagnostic spinal tap of lower spine using imaging guidance | 177 | $43.4K | $244.99 | 5.59x |
| 61790 | Stereotactic creation of lesion of cranial nerve, accessed through the skin | 44 | $25.6K | $581.15 | 3.01x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 12 | $21.5K | $1.8K | 2.80x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 35 | $35.65 | $1.02 | 256.72x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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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