This provider's $42.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.4K | $540.11 | 4.42x | $1.8K | $4.9M | 9.1K | 47 |
| 2015 | $2.4K | $539.49 | 4.53x | $1.9K | $5.0M | 9.2K | 55 |
| 2016 | $2.4K | $507.04 | 4.70x | $1.9K | $5.2M | 10.3K | 50 |
| 2017 | $2.3K | $498.88 | 4.67x | $1.8K | $4.3M | 8.7K | 51 |
| 2018 | $2.4K | $521.98 | 4.66x | $1.9K | $4.3M | 8.2K | 48 |
| 2019 | $2.4K | $495.81 | 4.80x | $1.9K | $4.3M | 8.6K | 49 |
| 2020 | $2.4K | $530.74 | 4.50x | $1.9K | $3.4M | 6.3K | 44 |
| 2021 | $2.5K | $569.92 | 4.42x | $2.0K | $4.0M | 7.1K | 44 |
| 2022 | $2.6K | $589.22 | 4.33x | $2.0K | $3.9M | 6.6K | 43 |
| 2023 | $2.4K | $577.39 | 4.20x | $1.8K | $3.5M | 6.1K | 43 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 21.2K | $14.7M | $693.81 | 3.91x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.5K | $2.7M | $1.8K | 2.87x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 6.1K | $1.5M | $239.40 | 4.11x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 1.9K | $1.4M | $719.89 | 4.09x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 5.9K | $1.2M | $212.37 | 4.64x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 1.8K | $1.2M | $654.38 | 5.50x |
| 29880 | Removal of both knee cartilages using an endoscope | 1.3K | $1.1M | $872.69 | 4.13x |
| 64721 | Release and/or relocation of hand nerve | 2.0K | $1.0M | $519.86 | 5.68x |
| 29881 | Removal of knee cartilage using an endoscope | 940 | $806.3K | $857.80 | 3.56x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.3K | $789.4K | $348.83 | 3.73x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 613 | $785.3K | $1.3K | 2.46x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.1K | $751.9K | $694.30 | 3.92x |
| 45388 | Destruction of polyp or growth of large bowel using a flexible endoscope | 2.1K | $690.0K | $332.87 | 7.37x |
| 26055 | Incision of tendon covering of finger | 1.6K | $642.1K | $401.31 | 5.16x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 2.8K | $553.0K | $198.71 | 11.76x |
| 28285 | Correction of toe joint deformity | 1.1K | $538.2K | $494.22 | 6.21x |
| 28750 | Fusion of big toe at joint with foot | 212 | $527.2K | $2.5K | 1.46x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 404 | $507.9K | $1.3K | 2.04x |
| 62311 | Injections of substances into lower or sacral spine | 2.0K | $489.3K | $245.65 | 5.95x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.1K | $489.1K | $436.72 | 4.74x |
This provider submits charges 4.53 times higher than what Medicare actually pays.
A markup ratio of 4.53x means for every $100 Medicare pays, this provider initially charges $453. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Southern Alabama Surgery Center Llc | Dothan, AL | $42.8M | ✓ 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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