This provider's $22.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 74% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% 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 | $4.1K | $927.17 | 4.46x | $3.2K | $1.2M | 3.1K | 2.3K |
| 2015 | $3.9K | $1.0K | 3.93x | $2.9K | $1.1M | 2.2K | 1.6K |
| 2016 | $5.4K | $1.8K | 3.04x | $3.6K | $2.1M | 2.6K | 1.8K |
| 2017 | $5.3K | $1.8K | 2.92x | $3.5K | $3.2M | 3.9K | 2.6K |
| 2018 | $5.3K | $1.9K | 2.79x | $3.4K | $2.9M | 3.6K | 2.5K |
| 2019 | $4.8K | $1.5K | 3.19x | $3.3K | $2.6M | 3.0K | 2.3K |
| 2020 | $4.8K | $1.7K | 2.82x | $3.1K | $2.2M | 2.0K | 1.7K |
| 2021 | $6.4K | $2.5K | 2.53x | $3.9K | $2.4M | 1.4K | 1.3K |
| 2022 | $6.5K | $2.6K | 2.51x | $3.9K | $2.5M | 1.5K | 1.3K |
| 2023 | $6.4K | $2.3K | 2.82x | $4.1K | $2.1M | 1.1K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 366 | $5.5M | $15.0K | 4.39x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 674 | $2.1M | $3.2K | 3.15x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 426 | $2.1M | $4.9K | 1.75x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 134 | $1.7M | $12.8K | 1.72x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.3K | $1.3M | $574.10 | 2.61x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 121 | $999.0K | $8.3K | 2.42x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 53 | $736.4K | $13.9K | 1.53x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 3.4K | $685.4K | $203.68 | 6.99x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.0K | $659.8K | $222.30 | 4.67x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 201 | $570.3K | $2.8K | 1.78x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $557.7K | $270.18 | 3.70x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 158 | $528.3K | $3.3K | 1.96x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 134 | $471.7K | $3.5K | 1.83x |
| 55700 | Biopsy of prostate gland | 783 | $442.2K | $564.74 | 3.28x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 659 | $360.6K | $547.24 | 2.74x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 249 | $292.7K | $1.2K | 1.73x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 196 | $287.9K | $1.5K | 7.22x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.9K | $277.9K | $149.42 | 5.10x |
| 54405 | Insertion of multi-component inflatable penile prosthesis | 23 | $267.1K | $11.6K | 1.34x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 390 | $215.4K | $552.21 | 2.99x |
This provider submits charges 3.31 times higher than what Medicare actually pays.
A markup ratio of 3.31x means for every $100 Medicare pays, this provider initially charges $331. 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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