This provider's $15.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.07x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 724% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 105% 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 | $712.46 | 5.34x | $3.1K | $424.6K | 596 | 13 |
| 2015 | $4.3K | $726.43 | 5.87x | $3.5K | $387.9K | 534 | 12 |
| 2016 | $2.3K | $394.57 | 5.92x | $1.9K | $673.1K | 1.7K | 18 |
| 2017 | $2.3K | $362.70 | 6.35x | $1.9K | $907.8K | 2.5K | 18 |
| 2018 | $2.5K | $387.07 | 6.35x | $2.1K | $933.2K | 2.4K | 19 |
| 2019 | $3.2K | $559.52 | 5.69x | $2.6K | $1.4M | 2.5K | 18 |
| 2020 | $754.26 | $138.54 | 5.44x | $615.72 | $1.4M | 10.1K | 20 |
| 2021 | $638.08 | $134.52 | 4.74x | $503.56 | $2.9M | 21.3K | 27 |
| 2022 | $323.67 | $71.76 | 4.51x | $251.91 | $3.4M | 47.7K | 28 |
| 2023 | $328.67 | $72.30 | 4.55x | $256.37 | $3.5M | 48.4K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 520 | $3.3M | $6.4K | 4.81x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 86 | $1.5M | $16.9K | 3.65x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 5.7K | $1.3M | $217.72 | 6.18x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 547 | $1.0M | $1.8K | 4.71x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 188 | $715.0K | $3.8K | 2.69x |
| 64721 | Release and/or relocation of hand nerve | 1.3K | $686.1K | $539.85 | 5.19x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 56 | $667.6K | $11.9K | 3.72x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 2.5K | $650.9K | $260.98 | 5.21x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 98 | $637.3K | $6.5K | 4.38x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 166 | $532.9K | $3.2K | 4.08x |
| 29880 | Removal of both knee cartilages using an endoscope | 484 | $432.4K | $893.46 | 5.62x |
| 26055 | Incision of tendon covering of finger | 992 | $429.3K | $432.76 | 5.75x |
| 29881 | Removal of knee cartilage using an endoscope | 442 | $395.1K | $893.85 | 5.91x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.7K | $390.9K | $229.92 | 7.44x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 637 | $323.8K | $508.37 | 5.85x |
| 27446 | Replacement of knee joint on side of knee | 56 | $322.1K | $5.8K | 5.02x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 964 | $207.7K | $215.41 | 6.25x |
| 22551 | Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | 36 | $203.8K | $5.7K | 4.92x |
| 28750 | Fusion of big toe at joint with foot | 84 | $196.3K | $2.3K | 4.27x |
| 25447 | Removal of bone joints between wrist and fingers | 284 | $194.7K | $685.52 | 9.76x |
This provider submits charges 5.07 times higher than what Medicare actually pays.
A markup ratio of 5.07x means for every $100 Medicare pays, this provider initially charges $507. 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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