This provider's $31.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 171% 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 | $769.46 | $217.94 | 3.53x | $551.52 | $1.8M | 8.2K | 26 |
| 2015 | $1.1K | $316.39 | 3.37x | $751.16 | $1.9M | 5.9K | 26 |
| 2016 | $592.22 | $182.01 | 3.25x | $410.21 | $2.0M | 10.8K | 26 |
| 2017 | $633.24 | $195.61 | 3.24x | $437.63 | $2.1M | 10.7K | 30 |
| 2018 | $713.99 | $225.02 | 3.17x | $488.97 | $2.8M | 12.3K | 27 |
| 2019 | $542.26 | $184.56 | 2.94x | $357.70 | $3.8M | 20.7K | 31 |
| 2020 | $504.83 | $152.45 | 3.31x | $352.38 | $3.5M | 23.2K | 33 |
| 2021 | $470.70 | $149.27 | 3.15x | $321.43 | $4.1M | 27.8K | 32 |
| 2022 | $572.45 | $181.75 | 3.15x | $390.70 | $4.5M | 24.6K | 32 |
| 2023 | $528.76 | $175.58 | 3.01x | $353.18 | $4.9M | 27.7K | 35 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 2.7K | $3.9M | $1.4K | 4.80x |
| 55700 | Biopsy of prostate gland | 6.2K | $3.6M | $591.40 | 2.83x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 173 | $2.3M | $13.5K | 1.64x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 404 | $2.1M | $5.2K | 1.72x |
| 50590 | Shock wave crushing of kidney stones | 1.7K | $2.0M | $1.2K | 6.22x |
| 52332 | Insertion of stent in ureter using an endoscope | 1.9K | $1.4M | $762.17 | 3.29x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 389 | $1.4M | $3.5K | 4.08x |
| 54405 | Insertion of multicomponent inflatable penile implant | 120 | $1.3M | $10.6K | 1.54x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 1.2K | $1.2M | $942.63 | 2.61x |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 6.7K | $976.7K | $146.40 | 1.95x |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 622 | $893.7K | $1.4K | 3.17x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 718 | $682.3K | $950.31 | 2.63x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 842 | $680.8K | $808.56 | 3.08x |
| 52005 | Insertion of tube into ureter using an endoscope through bladder area | 1.1K | $622.6K | $590.15 | 3.47x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 682 | $530.2K | $777.45 | 2.92x |
| 55874 | Injection of biodegradable material next to prostate | 210 | $530.2K | $2.5K | 1.86x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 851 | $505.5K | $593.99 | 4.04x |
| C2642 | Brachytherapy source, stranded, cesium-131, per source | 8.0K | $489.9K | $61.26 | 1.53x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 92.9K | $446.0K | $4.80 | 2.15x |
| 52204 | Biopsy of bladder using an endoscope | 703 | $406.6K | $578.34 | 3.53x |
This provider submits charges 3.17 times higher than what Medicare actually pays.
A markup ratio of 3.17x means for every $100 Medicare pays, this provider initially charges $317. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data