This provider's $18.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 196% 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 | $405.55 | $117.19 | 3.46x | $288.36 | $987.7K | 8.4K | 17 |
| 2015 | $593.40 | $169.49 | 3.50x | $423.91 | $1.1M | 6.5K | 17 |
| 2016 | $448.62 | $129.04 | 3.48x | $319.58 | $1.2M | 9.4K | 20 |
| 2017 | $422.12 | $122.77 | 3.44x | $299.35 | $1.4M | 11.3K | 21 |
| 2018 | $467.11 | $149.43 | 3.13x | $317.68 | $1.9M | 12.7K | 23 |
| 2019 | $481.80 | $149.21 | 3.23x | $332.59 | $1.9M | 12.6K | 21 |
| 2020 | $510.44 | $140.53 | 3.63x | $369.91 | $1.9M | 13.2K | 20 |
| 2021 | $426.80 | $117.99 | 3.62x | $308.81 | $2.2M | 18.4K | 26 |
| 2022 | $569.32 | $178.39 | 3.19x | $390.93 | $2.6M | 14.7K | 25 |
| 2023 | $504.53 | $148.04 | 3.41x | $356.49 | $2.9M | 19.8K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 19.6K | $4.3M | $221.25 | 3.76x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 366 | $1.9M | $5.2K | 1.90x |
| 55700 | Biopsy of prostate gland | 2.6K | $1.6M | $602.75 | 1.99x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 912 | $1.3M | $1.5K | 3.99x |
| 50590 | Shock wave crushing of kidney stones | 1.0K | $1.2M | $1.2K | 3.89x |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 641 | $942.5K | $1.5K | 2.41x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 51 | $736.4K | $14.4K | 2.21x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 1.0K | $624.3K | $598.59 | 2.14x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 164 | $604.7K | $3.7K | 2.22x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 505 | $489.7K | $969.73 | 2.64x |
| 52332 | Insertion of stent in ureter using an endoscope | 682 | $486.4K | $713.18 | 4.47x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 82.6K | $395.7K | $4.79 | 2.65x |
| 52352 | Removal or manipulation of stone in ureter or kidney using an endoscope | 470 | $342.5K | $728.77 | 4.15x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 323 | $313.0K | $969.04 | 2.27x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 512 | $310.4K | $606.31 | 3.57x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 304 | $241.9K | $795.84 | 3.23x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 268 | $224.4K | $837.43 | 2.27x |
| 52204 | Biopsy of the bladder using an endoscope | 298 | $190.8K | $640.25 | 2.97x |
| 52240 | Destruction and/or removal of large growth of bladder using an endoscope | 131 | $189.8K | $1.4K | 1.87x |
| 51700 | Simple bladder irrigation and/or instillation | 9.0K | $181.4K | $20.08 | 36.39x |
This provider submits charges 3.39 times higher than what Medicare actually pays.
A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. This is higher than the national average.
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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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