This provider's $11.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2387% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 627% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $2.8K | $570.70 | 4.88x | $2.2K | $99.1K | 227 | 153 |
| 2016 | $4.6K | $799.05 | 5.70x | $3.8K | $719.9K | 1.3K | 936 |
| 2017 | $6.9K | $2.0K | 3.52x | $4.9K | $1.2M | 1.6K | 1.1K |
| 2018 | $5.8K | $1.5K | 3.81x | $4.3K | $1.0M | 1.6K | 1.1K |
| 2019 | $4.1K | $627.83 | 6.52x | $3.5K | $786.8K | 1.8K | 1.2K |
| 2020 | $5.3K | $876.59 | 6.10x | $4.5K | $1.4M | 1.8K | 1.2K |
| 2021 | $6.9K | $1.3K | 5.20x | $5.6K | $2.0M | 1.9K | 1.3K |
| 2022 | $7.3K | $1.3K | 5.62x | $6.0K | $1.9M | 1.9K | 1.3K |
| 2023 | $7.9K | $1.6K | 4.98x | $6.3K | $2.5M | 2.0K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 538 | $3.5M | $6.5K | 4.79x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 197 | $1.3M | $6.6K | 4.85x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.6K | $942.1K | $578.34 | 4.32x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 3.4K | $891.5K | $260.68 | 4.79x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 406 | $804.0K | $2.0K | 4.30x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $768.2K | $253.79 | 4.93x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 26 | $421.4K | $16.2K | 1.85x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 342 | $405.6K | $1.2K | 7.22x |
| 64721 | Release and/or relocation of median nerve of hand | 543 | $289.6K | $533.28 | 4.68x |
| 26055 | Incision of tendon covering | 627 | $269.0K | $429.05 | 5.24x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 84 | $265.7K | $3.2K | 3.12x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.0K | $250.6K | $249.35 | 5.01x |
| 63655 | Implantation of spinal neurostimulator electrodes | 15 | $157.0K | $10.5K | 2.39x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 584 | $131.6K | $225.28 | 5.55x |
| 28285 | Correction of toe joint deformity | 206 | $119.2K | $578.48 | 6.06x |
| 25447 | Removal of bone joints between wrist and fingers | 185 | $115.6K | $624.88 | 10.44x |
| 26480 | Transplant of tendon of hand | 142 | $113.4K | $798.59 | 5.27x |
| 29881 | Removal of one knee cartilage using an endoscope | 123 | $112.7K | $915.86 | 4.64x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 211 | $103.0K | $487.99 | 17.42x |
| 28299 | Correction of bunion | 55 | $85.9K | $1.6K | 4.80x |
This provider submits charges 4.97 times higher than what Medicare actually pays.
A markup ratio of 4.97x means for every $100 Medicare pays, this provider initially charges $497. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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