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.
Notable: Payments increased 61% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $7.6K | $1.6K | 4.88x | $6.0K | $1.8M | 2.0K | 1.6K |
| 2015 | $6.1K | $1.1K | 5.54x | $5.0K | $1.8M | 2.2K | 1.7K |
| 2016 | $7.7K | $1.4K | 5.35x | $6.3K | $3.0M | 2.5K | 2.0K |
| 2017 | $8.4K | $2.0K | 4.28x | $6.4K | $3.3M | 2.6K | 2.1K |
| 2018 | $8.0K | $1.5K | 5.40x | $6.5K | $3.1M | 2.6K | 2.1K |
| 2019 | $8.8K | $1.6K | 5.41x | $7.2K | $3.2M | 2.7K | 2.2K |
| 2020 | $9.5K | $2.0K | 4.69x | $7.5K | $3.2M | 2.5K | 2.1K |
| 2021 | $12.2K | $2.3K | 5.23x | $9.8K | $3.0M | 2.5K | 2.1K |
| 2022 | $10.8K | $1.9K | 5.60x | $8.9K | $2.6M | 2.6K | 2.0K |
| 2023 | $9.8K | $1.7K | 5.72x | $8.1K | $2.3M | 2.4K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 570 | $8.7M | $15.2K | 3.31x |
| 66984 | Removal of cataract with insertion of lens | 10.3K | $7.5M | $726.47 | 11.44x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 147 | $1.8M | $12.3K | 4.16x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 540 | $1.7M | $3.1K | 6.00x |
| V2785 | Processing, preserving and transporting corneal tissue | 350 | $1.0M | $2.9K | 1.28x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.2K | $814.0K | $366.16 | 8.98x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.2K | $428.6K | $343.70 | 7.67x |
| 66982 | Removal of cataract with insertion of lens | 571 | $391.1K | $684.92 | 11.27x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 106 | $379.4K | $3.6K | 5.12x |
| 65756 | Transplant of outer layer of corneal tissue | 255 | $344.6K | $1.4K | 6.99x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.0K | $340.3K | $340.27 | 7.65x |
| 66180 | Creation of shunt to improve eye fluid flow | 193 | $299.2K | $1.6K | 5.26x |
| 45380 | Biopsy of large bowel using an endoscope | 786 | $251.8K | $320.42 | 10.36x |
| 0191T | Internal insertion of eye fluid drainage device | 156 | $248.6K | $1.6K | 5.42x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 29 | $239.7K | $8.3K | 6.65x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 881 | $198.5K | $225.34 | 14.52x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 11 | $188.6K | $17.1K | 1.35x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 864 | $181.7K | $210.26 | 10.82x |
| 67311 | Realignment of the eye with repair of one horizontal eye muscle | 305 | $136.5K | $447.64 | 17.23x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 17 | $125.9K | $7.4K | 2.33x |
This provider submits charges 6.86 times higher than what Medicare actually pays.
A markup ratio of 6.86x means for every $100 Medicare pays, this provider initially charges $686. 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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