This provider's $13.4M in total Medicare payments ranks in the 98th 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.
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 | $605.51 | 3.03x | $1.2K | $897.4K | 2.2K | 1.9K |
| 2015 | $2.0K | $694.28 | 2.84x | $1.3K | $895.9K | 2.2K | 1.9K |
| 2016 | $1.9K | $649.81 | 2.90x | $1.2K | $942.4K | 2.3K | 2.0K |
| 2017 | $2.0K | $677.48 | 2.90x | $1.3K | $1.1M | 2.5K | 2.2K |
| 2018 | $2.1K | $803.91 | 2.64x | $1.3K | $1.2M | 2.6K | 2.3K |
| 2019 | $2.3K | $901.88 | 2.60x | $1.4K | $1.3M | 2.4K | 2.2K |
| 2020 | $2.7K | $926.33 | 2.95x | $1.8K | $1.7M | 2.2K | 2.0K |
| 2021 | $3.4K | $978.03 | 3.52x | $2.5K | $2.1M | 2.5K | 2.3K |
| 2022 | $6.2K | $1.7K | 3.72x | $4.6K | $1.8M | 2.3K | 2.1K |
| 2023 | $4.9K | $1.2K | 4.14x | $3.7K | $1.6M | 2.3K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 663 | $3.7M | $5.5K | 3.10x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 10.1K | $2.2M | $217.68 | 3.56x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 759 | $887.0K | $1.2K | 2.79x |
| 55700 | Biopsy of prostate gland | 1.4K | $805.7K | $594.61 | 2.81x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.3K | $789.1K | $596.92 | 3.26x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 497 | $703.0K | $1.4K | 2.80x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 622 | $485.0K | $779.69 | 3.37x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 303 | $451.1K | $1.5K | 3.44x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 410 | $391.8K | $955.51 | 2.38x |
| 50590 | Shock wave crushing of kidney stones | 282 | $361.4K | $1.3K | 4.68x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 462 | $349.0K | $755.43 | 3.07x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 274 | $236.7K | $863.87 | 2.89x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 189 | $230.2K | $1.2K | 2.81x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 15 | $217.6K | $14.5K | 3.17x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 57 | $212.4K | $3.7K | 3.35x |
| 52204 | Biopsy of the bladder using an endoscope | 382 | $195.0K | $510.44 | 3.56x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 242 | $179.6K | $742.29 | 2.71x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 250 | $152.0K | $607.82 | 3.52x |
| 76872 | Ultrasound of rectum | 2.9K | $131.2K | $44.73 | 8.67x |
| 52315 | Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 195 | $125.7K | $644.85 | 3.15x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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