This provider's $22.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.19x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 206% from 2014 to 2023.
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 | $6.0K | $724.56 | 8.33x | $5.3K | $997.0K | 1.4K | 18 |
| 2015 | $6.7K | $939.38 | 7.16x | $5.8K | $1.4M | 1.5K | 19 |
| 2016 | $6.6K | $1.0K | 6.45x | $5.6K | $1.7M | 1.7K | 22 |
| 2017 | $6.9K | $1.1K | 6.30x | $5.8K | $2.2M | 2.0K | 23 |
| 2018 | $7.6K | $1.2K | 6.12x | $6.3K | $2.3M | 1.8K | 22 |
| 2019 | $1.9K | $313.00 | 6.19x | $1.6K | $2.2M | 7.1K | 22 |
| 2020 | $506.25 | $79.84 | 6.34x | $426.41 | $2.6M | 32.2K | 24 |
| 2021 | $482.20 | $77.01 | 6.26x | $405.19 | $2.7M | 34.7K | 23 |
| 2022 | $478.56 | $89.51 | 5.35x | $389.05 | $3.0M | 33.2K | 22 |
| 2023 | $438.73 | $79.51 | 5.52x | $359.22 | $3.1M | 38.4K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 8.2K | $6.2M | $760.19 | 7.63x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 267 | $4.6M | $17.2K | 2.79x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 223 | $2.7M | $12.0K | 3.28x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 543 | $884.5K | $1.6K | 7.39x |
| 26055 | Incision of tendon covering of finger | 1.7K | $766.9K | $440.26 | 9.49x |
| 64721 | Release and/or relocation of hand nerve | 1.2K | $674.4K | $565.31 | 8.12x |
| 27447 | Replacement of knee joint, both sides of knee | 90 | $615.2K | $6.8K | 7.26x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 297 | $561.8K | $1.9K | 5.83x |
| 25447 | Removal of bone joints between wrist and fingers | 420 | $376.3K | $895.98 | 11.18x |
| 29848 | Release of wrist ligament using an endoscope | 664 | $375.0K | $564.80 | 12.62x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 239 | $344.6K | $1.4K | 4.43x |
| 29881 | Removal of knee cartilage using an endoscope | 341 | $324.4K | $951.32 | 7.58x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach, complex | 50 | $311.1K | $6.2K | 7.11x |
| 29880 | Removal of both knee cartilages using an endoscope | 330 | $310.8K | $941.87 | 7.64x |
| 27446 | Replacement of knee joint on side of knee | 46 | $305.1K | $6.6K | 3.76x |
| 23430 | Anchoring of biceps tendon | 134 | $227.3K | $1.7K | 4.58x |
| 26123 | Removal of connective tissue of palm and release of finger, first digit | 221 | $213.9K | $967.69 | 7.25x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 339 | $206.3K | $608.49 | 11.89x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 56 | $172.1K | $3.1K | 2.92x |
| 25310 | Relocation of tendon of forearm and/or wrist | 310 | $163.8K | $528.29 | 14.91x |
This provider submits charges 6.19 times higher than what Medicare actually pays.
A markup ratio of 6.19x means for every $100 Medicare pays, this provider initially charges $619. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Eye Surgery Center Of The Carolinas Lp | Southern Pines, NC | $33.8M | ✓ 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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