This provider's $17.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.14x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 205% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2021
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 | $423.04 | 5.77x | $2.0K | $1.0M | 2.4K | 23 |
| 2015 | $2.4K | $401.16 | 5.96x | $2.0K | $1.1M | 2.8K | 21 |
| 2016 | $2.4K | $425.45 | 5.66x | $2.0K | $1.1M | 2.6K | 24 |
| 2017 | $2.5K | $412.98 | 6.11x | $2.1K | $1.1M | 2.7K | 26 |
| 2018 | $2.5K | $434.42 | 5.72x | $2.1K | $1.2M | 2.7K | 26 |
| 2019 | $2.7K | $481.08 | 5.67x | $2.2K | $1.4M | 2.9K | 27 |
| 2020 | $3.4K | $642.45 | 5.32x | $2.8K | $1.5M | 2.4K | 28 |
| 2021 | $4.7K | $974.40 | 4.78x | $3.7K | $2.4M | 2.5K | 25 |
| 2022 | $6.2K | $1.4K | 4.57x | $4.9K | $3.3M | 2.4K | 28 |
| 2023 | $7.0K | $1.6K | 4.47x | $5.5K | $3.1M | 2.0K | 25 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 522 | $3.1M | $6.0K | 4.14x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.0K | $1.6M | $1.6K | 5.49x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 252 | $1.6M | $6.2K | 4.05x |
| 27446 | Replacement of knee joint on side of knee | 222 | $1.3M | $5.8K | 4.34x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 5.3K | $1.2M | $221.26 | 5.57x |
| 28750 | Fusion of big toe at joint with foot | 371 | $843.8K | $2.3K | 3.43x |
| 64721 | Release and/or relocation of hand nerve | 1.6K | $814.6K | $508.82 | 5.27x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.5K | $769.3K | $529.81 | 4.75x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 3.2K | $634.2K | $197.25 | 7.13x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 276 | $514.0K | $1.9K | 4.71x |
| 29881 | Removal of knee cartilage using an endoscope | 608 | $511.7K | $841.59 | 5.09x |
| 26055 | Incision of tendon covering of finger | 1.3K | $476.6K | $377.97 | 6.16x |
| 29880 | Removal of both knee cartilages using an endoscope | 500 | $413.4K | $826.85 | 5.17x |
| 28285 | Correction of toe joint deformity | 963 | $409.2K | $424.88 | 8.61x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 135 | $350.5K | $2.6K | 4.60x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 624 | $324.9K | $520.68 | 4.74x |
| 25447 | Removal of bone joints between wrist and fingers | 330 | $269.8K | $817.63 | 6.74x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.3K | $263.5K | $206.82 | 6.77x |
| 28308 | Incision or partial removal of foot bone (other than big toe) to straighten toe | 518 | $247.6K | $477.99 | 6.42x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.2K | $234.5K | $197.42 | 6.41x |
This provider submits charges 5.14 times higher than what Medicare actually pays.
A markup ratio of 5.14x means for every $100 Medicare pays, this provider initially charges $514. 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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