This provider's $12.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.28x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 138% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% 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 | $3.8K | $705.61 | 5.33x | $3.1K | $992.2K | 2.7K | 1.9K |
| 2015 | $3.7K | $736.52 | 5.02x | $3.0K | $1.0M | 2.7K | 1.9K |
| 2016 | $3.8K | $752.42 | 5.03x | $3.0K | $1.1M | 2.9K | 2.1K |
| 2017 | $3.5K | $745.00 | 4.68x | $2.7K | $1.0M | 2.9K | 2.1K |
| 2018 | $3.6K | $798.12 | 4.51x | $2.8K | $1.1M | 2.8K | 2.1K |
| 2019 | $3.6K | $804.94 | 4.45x | $2.8K | $1.1M | 2.8K | 2.1K |
| 2020 | $5.4K | $1.1K | 5.08x | $4.4K | $854.4K | 1.7K | 1.4K |
| 2021 | $6.8K | $1.3K | 5.09x | $5.4K | $1.4M | 2.2K | 1.8K |
| 2022 | $7.0K | $1.4K | 5.15x | $5.6K | $1.7M | 2.4K | 1.9K |
| 2023 | $8.1K | $2.2K | 3.69x | $5.9K | $2.4M | 2.4K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 8.7K | $2.0M | $232.01 | 6.04x |
| 27447 | Repair of knee joint | 242 | $1.6M | $6.7K | 6.54x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.6K | $890.1K | $543.09 | 2.58x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 278 | $886.9K | $3.2K | 2.29x |
| 29880 | Removal of both knee cartilages using an endoscope | 815 | $774.4K | $950.22 | 5.98x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.5K | $573.2K | $232.71 | 6.02x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 79 | $552.6K | $7.0K | 6.29x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 278 | $547.8K | $2.0K | 2.79x |
| 29881 | Removal of one knee cartilage using an endoscope | 540 | $514.2K | $952.27 | 5.97x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 344 | $512.1K | $1.5K | 4.06x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 2.1K | $470.2K | $220.74 | 6.34x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 626 | $430.6K | $687.81 | 8.01x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 234 | $339.9K | $1.5K | 4.03x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 18 | $334.5K | $18.6K | 1.61x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.5K | $320.0K | $217.51 | 6.44x |
| 64721 | Release and/or relocation of median nerve of hand | 519 | $295.7K | $569.78 | 6.45x |
| 62310 | Injections of substances into upper or middle spine | 1.1K | $288.1K | $256.74 | 5.45x |
| 62311 | Injections of substances into lower or sacral spine | 1.0K | $252.7K | $242.51 | 5.77x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.0K | $195.6K | $192.51 | 7.38x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 336 | $193.4K | $575.58 | 2.43x |
This provider submits charges 5.28 times higher than what Medicare actually pays.
A markup ratio of 5.28x means for every $100 Medicare pays, this provider initially charges $528. 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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