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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Ambulatory Surgery Center Of Cool Springs Llc
🔪
Organization

Ambulatory Surgery Center Of Cool Springs Llc

NPI: 1871575043
Franklin, TN
10 years of data
Ambulatory Surgical Center
$27.3M
Total Payments
19.8K
Beneficiaries
24.5K
Services
6.86x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$27.3M
Specialty median$657.1K

📋 Key Findings

1Billed $27.3M over 10 years
26.86x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
4Payments surged 61% in 2016
517 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $27.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.

Their average markup ratio of 6.86x is significantly above the specialty median of 6.1x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 61% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$7.6K$1.6K4.88x$6.0K$1.8M2.0K1.6K
2015$6.1K$1.1K5.54x$5.0K$1.8M2.2K1.7K
2016$7.7K$1.4K5.35x$6.3K$3.0M2.5K2.0K
2017$8.4K$2.0K4.28x$6.4K$3.3M2.6K2.1K
2018$8.0K$1.5K5.40x$6.5K$3.1M2.6K2.1K
2019$8.8K$1.6K5.41x$7.2K$3.2M2.7K2.2K
2020$9.5K$2.0K4.69x$7.5K$3.2M2.5K2.1K
2021$12.2K$2.3K5.23x$9.8K$3.0M2.5K2.1K
2022$10.8K$1.9K5.60x$8.9K$2.6M2.6K2.0K
2023$9.8K$1.7K5.72x$8.1K$2.3M2.4K1.9K

Top Procedures (20)

63685Insertion of spinal neurostimulator pulse generator or receiver⚠ 3.3x markup
$8.7M
570 services$15.2K/svc3.31x markup
66984Removal of cataract with insertion of lens⚠ 11.4x markup
$7.5M
10.3K services$726.47/svc11.44x markup
64590Insertion or replacement of peripheral or gastric neurostimulator generator⚠ 4.2x markup
$1.8M
147 services$12.3K/svc4.16x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skin⚠ 6.0x markup
$1.7M
540 services$3.1K/svc6.00x markup
V2785Processing, preserving and transporting corneal tissue
$1.0M
350 services$2.9K/svc1.28x markup
45385Removal of polyps or growths of large bowel using an endoscope⚠ 9.0x markup
$814.0K
2.2K services$366.16/svc8.98x markup
G0105Colorectal cancer screening; colonoscopy on individual at high risk⚠ 7.7x markup
$428.6K
1.2K services$343.70/svc7.67x markup
66982Removal of cataract with insertion of lens⚠ 11.3x markup
$391.1K
571 services$684.92/svc11.27x markup
64581Incision to insert sacral nerve neurostimulator electrodes⚠ 5.1x markup
$379.4K
106 services$3.6K/svc5.12x markup
65756Transplant of outer layer of corneal tissue⚠ 7.0x markup
$344.6K
255 services$1.4K/svc6.99x markup
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk⚠ 7.7x markup
$340.3K
1.0K services$340.27/svc7.65x markup
66180Creation of shunt to improve eye fluid flow⚠ 5.3x markup
$299.2K
193 services$1.6K/svc5.26x markup
45380Biopsy of large bowel using an endoscope⚠ 10.4x markup
$251.8K
786 services$320.42/svc10.36x markup
0191TInternal insertion of eye fluid drainage device⚠ 5.4x markup
$248.6K
156 services$1.6K/svc5.42x markup
27279Fusion sacroiliac joint through the skin or minimally invasive using image guidance⚠ 6.7x markup
$239.7K
29 services$8.3K/svc6.65x markup
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope⚠ 14.5x markup
$198.5K
881 services$225.34/svc14.52x markup
C1822Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
$188.6K
11 services$17.1K/svc1.35x markup
43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope⚠ 10.8x markup
$181.7K
864 services$210.26/svc10.82x markup
67311Realignment of the eye with repair of one horizontal eye muscle⚠ 17.2x markup
$136.5K
305 services$447.64/svc17.23x markup
22869Insertion of stabilizing or separating device into lower spine at single level
$125.9K
17 services$7.4K/svc2.33x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
63685Insertion of spinal neurostimulator pulse generator or receiver570$8.7M$15.2K3.31x
66984Removal of cataract with insertion of lens10.3K$7.5M$726.4711.44x
64590Insertion or replacement of peripheral or gastric neurostimulator generator147$1.8M$12.3K4.16x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin540$1.7M$3.1K6.00x
V2785Processing, preserving and transporting corneal tissue350$1.0M$2.9K1.28x
45385Removal of polyps or growths of large bowel using an endoscope2.2K$814.0K$366.168.98x
G0105Colorectal cancer screening; colonoscopy on individual at high risk1.2K$428.6K$343.707.67x
66982Removal of cataract with insertion of lens571$391.1K$684.9211.27x
64581Incision to insert sacral nerve neurostimulator electrodes106$379.4K$3.6K5.12x
65756Transplant of outer layer of corneal tissue255$344.6K$1.4K6.99x
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1.0K$340.3K$340.277.65x
66180Creation of shunt to improve eye fluid flow193$299.2K$1.6K5.26x
45380Biopsy of large bowel using an endoscope786$251.8K$320.4210.36x
0191TInternal insertion of eye fluid drainage device156$248.6K$1.6K5.42x
27279Fusion sacroiliac joint through the skin or minimally invasive using image guidance29$239.7K$8.3K6.65x
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope881$198.5K$225.3414.52x
C1822Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system11$188.6K$17.1K1.35x
43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope864$181.7K$210.2610.82x
67311Realignment of the eye with repair of one horizontal eye muscle305$136.5K$447.6417.23x
22869Insertion of stabilizing or separating device into lower spine at single level17$125.9K$7.4K2.33x

Markup Analysis

Charge-to-Payment Ratio

6.86x

This provider submits charges 6.86 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.86x means for every $100 Medicare pays, this provider initially charges $686. This is higher than the national average.

Location

Franklin, TN

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in TN for peer comparison.

Ambulatory Surgery Center Of Cool Springs Llc (you)
$27.3M
Digestivecare, Llc
$36.0M
Knoxville Eye Surgery Center Llc
$33.5M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Digestivecare, LlcGermantown, TN$36.0M✓ Clear
Knoxville Eye Surgery Center LlcKnoxville, TN$33.5M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data