This provider's $21.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1562% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 500% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $9.0K | $1.6K | 5.50x | $7.4K | $448.9K | 273 | 8 |
| 2020 | $4.4K | $652.20 | 6.77x | $3.8K | $2.7M | 4.1K | 14 |
| 2021 | $22.5K | $3.0K | 7.41x | $19.5K | $4.4M | 1.5K | 21 |
| 2022 | $17.2K | $2.3K | 7.62x | $14.9K | $6.6M | 2.9K | 26 |
| 2023 | $23.2K | $2.4K | 9.82x | $20.8K | $7.5M | 3.2K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 1.4K | $8.3M | $6.1K | 7.57x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 595 | $3.7M | $6.1K | 9.66x |
| 27446 | Replacement of knee joint on side of knee | 542 | $3.2M | $5.9K | 6.92x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 84 | $1.4M | $16.5K | 3.37x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 79 | $938.2K | $11.9K | 3.55x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 438 | $791.2K | $1.8K | 10.85x |
| 23430 | Anchoring of biceps tendon | 411 | $643.4K | $1.6K | 12.32x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 130 | $418.7K | $3.2K | 12.25x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 105 | $305.9K | $2.9K | 6.84x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 1.0K | $262.8K | $256.86 | 12.89x |
| 64721 | Release and/or relocation of hand nerve | 356 | $185.6K | $521.42 | 9.69x |
| 29880 | Removal of both knee cartilages using an endoscope | 199 | $176.9K | $888.72 | 10.06x |
| 28299 | Correction of bunion with 2 areas of realignment | 53 | $139.8K | $2.6K | 9.14x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 242 | $115.5K | $477.36 | 16.98x |
| 26055 | Incision of tendon covering of finger | 268 | $110.1K | $410.75 | 11.66x |
| 29881 | Removal of knee cartilage using an endoscope | 125 | $107.4K | $859.01 | 10.56x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 440 | $97.9K | $222.61 | 15.12x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | 43 | $85.5K | $2.0K | 8.75x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 196 | $83.6K | $426.37 | 13.84x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 141 | $67.4K | $477.80 | 18.70x |
This provider submits charges 8.18 times higher than what Medicare actually pays.
A markup ratio of 8.18x means for every $100 Medicare pays, this provider initially charges $818. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | ✓ Clear |
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | ✓ 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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