This provider's $14.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $1.8K | $482.88 | 3.76x | $1.3K | $1.6M | 5.0K | 4.6K |
| 2015 | $1.8K | $449.85 | 3.94x | $1.3K | $1.6M | 4.8K | 4.3K |
| 2016 | $1.8K | $476.87 | 3.87x | $1.4K | $1.6M | 4.8K | 4.3K |
| 2017 | $2.3K | $645.20 | 3.50x | $1.6K | $1.5M | 4.0K | 3.6K |
| 2018 | $2.3K | $772.58 | 3.03x | $1.6K | $1.6M | 3.9K | 3.6K |
| 2019 | $2.2K | $748.59 | 2.99x | $1.5K | $1.7M | 4.0K | 3.7K |
| 2020 | $2.2K | $728.71 | 3.05x | $1.5K | $1.3M | 2.8K | 2.5K |
| 2021 | $2.2K | $677.49 | 3.19x | $1.5K | $1.1M | 2.9K | 2.6K |
| 2022 | $1.9K | $601.26 | 3.21x | $1.3K | $1.1M | 2.6K | 2.4K |
| 2023 | $1.9K | $528.87 | 3.55x | $1.3K | $1.1M | 2.8K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.4K | $2.3M | $690.55 | 4.26x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 6.3K | $1.3M | $206.49 | 6.62x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.2K | $1.0M | $322.62 | 4.89x |
| 43249 | Balloon dilation of esophagus using an endoscope | 2.3K | $973.9K | $432.64 | 3.20x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 123 | $968.9K | $7.9K | 1.90x |
| 45380 | Biopsy of large bowel using an endoscope | 2.9K | $771.6K | $265.17 | 5.40x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.3K | $464.2K | $201.92 | 4.95x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.5K | $462.1K | $317.80 | 4.30x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.6K | $392.6K | $247.41 | 4.04x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.6K | $376.3K | $235.94 | 5.79x |
| 62311 | Injections of substances into lower or sacral spine | 1.6K | $360.5K | $228.04 | 4.39x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 277 | $358.1K | $1.3K | 3.25x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 1.2K | $354.4K | $302.12 | 5.22x |
| 64721 | Release and/or relocation of median nerve of hand | 661 | $314.9K | $476.34 | 7.94x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 60 | $280.9K | $4.7K | 1.87x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.2K | $276.0K | $237.69 | 5.75x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 751 | $233.2K | $310.46 | 4.40x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 972 | $218.9K | $225.24 | 4.44x |
| 47562 | Removal of gallbladder using an endoscope | 155 | $216.5K | $1.4K | 2.71x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 113 | $187.4K | $1.7K | 1.81x |
This provider submits charges 4.36 times higher than what Medicare actually pays.
A markup ratio of 4.36x means for every $100 Medicare pays, this provider initially charges $436. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Surgery Center Jv | Huntsville, AL | $42.9M | ✓ Clear |
| Southern Alabama Surgery Center Llc | Dothan, AL | $42.8M | ✓ 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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