This provider's $8.5M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 303% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 334% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $846.10 | $282.20 | 3.00x | $563.90 | $411.8K | 1.4K | 1.4K |
| 2019 | $793.46 | $286.64 | 2.77x | $506.82 | $1.8M | 5.7K | 5.7K |
| 2020 | $793.46 | $291.82 | 2.72x | $501.64 | $1.4M | 4.3K | 4.2K |
| 2021 | $879.92 | $331.11 | 2.66x | $548.81 | $1.7M | 5.1K | 5.0K |
| 2022 | $896.43 | $334.84 | 2.68x | $561.59 | $1.6M | 4.7K | 4.6K |
| 2023 | $1.0K | $349.67 | 2.94x | $677.10 | $1.7M | 4.7K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 10.5K | $4.0M | $385.47 | 2.61x |
| 45380 | Biopsy of large bowel using an endoscope | 4.3K | $1.3M | $302.95 | 3.18x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 4.9K | $1.1M | $225.60 | 3.62x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.7K | $601.5K | $348.51 | 2.34x |
| 43249 | Balloon dilation of esophagus using an endoscope | 970 | $487.7K | $502.80 | 2.10x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.1K | $363.8K | $345.16 | 2.37x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 802 | $190.8K | $237.87 | 3.44x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 674 | $160.7K | $238.43 | 3.60x |
| 45390 | Removal of large bowel tissue using a flexible endoscope (colonoscopy) | 75 | $64.6K | $861.44 | 2.07x |
| 45381 | Injections of large bowel using an endoscope | 282 | $62.2K | $220.41 | 4.06x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 217 | $56.1K | $258.39 | 3.18x |
| 45331 | Biopsy of large bowel using an endoscope | 145 | $32.5K | $224.43 | 2.92x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 62 | $30.0K | $483.65 | 1.90x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 85 | $6.2K | $72.65 | 5.28x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. 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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