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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Cotton-Oneil Clinic Endoscopy Center Rvoc Tr
๐Ÿ”ช
Organization

Cotton-Oneil Clinic Endoscopy Center Rvoc Tr

NPI: 1033246459
Topeka, KS
10 years of data
Ambulatory Surgical Center
$11.2M
Total Payments
36.6K
Beneficiaries
37.8K
Services
2.62x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$11.2M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $11.2M over 10 years
22.62x markup ratio (above median)
397th percentile in Ambulatory Surgical Center by payments
45 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $11.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 52% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$766.48$294.152.61x$472.33$900.2K3.3K3.2K
2015$770.91$311.322.48x$459.59$1.0M3.6K3.5K
2016$771.94$324.092.38x$447.85$1.0M3.6K3.5K
2017$764.12$318.632.40x$445.49$1.2M4.1K4.0K
2018$771.86$333.972.31x$437.89$1.0M3.4K3.3K
2019$772.82$325.492.37x$447.33$1.1M3.6K3.5K
2020$774.12$321.462.41x$452.66$1.1M3.5K3.4K
2021$847.41$358.832.36x$488.58$1.3M4.2K4.1K
2022$837.43$349.222.40x$488.21$1.3M4.2K4.1K
2023$806.80$377.512.14x$429.29$1.4M4.2K4.0K

Top Procedures (20)

45385Removal of polyps or growths of large bowel using an endoscope
$3.7M
10.6K services$351.26/svc2.25x markup
G0105Colorectal cancer screening; colonoscopy on individual at high risk
$1.2M
3.5K services$337.47/svc2.25x markup
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscopeโš  3.5x markup
$1.1M
5.2K services$216.54/svc3.54x markup
43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscopeโš  3.6x markup
$1.0M
4.9K services$211.58/svc3.60x markup
45380Biopsy of large bowel using an endoscopeโš  3.4x markup
$844.5K
3.3K services$256.44/svc3.42x markup
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
$797.0K
2.4K services$332.52/svc2.29x markup
43249Balloon dilation of esophagus using an endoscope
$736.3K
1.6K services$455.60/svc1.95x markup
43450Dilation of esophagus
$624.0K
2.6K services$238.52/svc2.75x markup
45378Diagnostic examination of large bowel using an endoscopeโš  3.0x markup
$486.7K
1.9K services$252.32/svc3.01x markup
43251Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope
$282.2K
574 services$491.69/svc1.60x markup
45381Injections of large bowel using an endoscopeโš  3.9x markup
$118.6K
594 services$199.66/svc3.85x markup
45390Removal of large bowel tissue using a flexible endoscope (colonoscopy)
$84.3K
108 services$780.43/svc1.31x markup
43259Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope
$67.0K
150 services$446.47/svc1.85x markup
43242Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope
$40.8K
93 services$438.19/svc1.74x markup
43246Insertion of stomach tube using an endoscope
$21.7K
51 services$424.94/svc1.79x markup
45388Destruction of tissue abnormalities, tumors, or polyps of large bowel using a flexible endoscope
$20.8K
62 services$335.88/svc2.25x markup
43255Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope
$14.4K
29 services$498.27/svc1.96x markup
43270Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope
$7.2K
14 services$515.23/svc2.89x markup
43237Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope
$5.8K
14 services$416.25/svc1.83x markup
45341Ultrasound examination of large bowel using an endoscope
$4.0K
12 services$334.93/svc1.96x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
45385Removal of polyps or growths of large bowel using an endoscope10.6K$3.7M$351.262.25x
G0105Colorectal cancer screening; colonoscopy on individual at high risk3.5K$1.2M$337.472.25x
43239Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope5.2K$1.1M$216.543.54x
43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope4.9K$1.0M$211.583.60x
45380Biopsy of large bowel using an endoscope3.3K$844.5K$256.443.42x
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk2.4K$797.0K$332.522.29x
43249Balloon dilation of esophagus using an endoscope1.6K$736.3K$455.601.95x
43450Dilation of esophagus2.6K$624.0K$238.522.75x
45378Diagnostic examination of large bowel using an endoscope1.9K$486.7K$252.323.01x
43251Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope574$282.2K$491.691.60x
45381Injections of large bowel using an endoscope594$118.6K$199.663.85x
45390Removal of large bowel tissue using a flexible endoscope (colonoscopy)108$84.3K$780.431.31x
43259Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope150$67.0K$446.471.85x
43242Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope93$40.8K$438.191.74x
43246Insertion of stomach tube using an endoscope51$21.7K$424.941.79x
45388Destruction of tissue abnormalities, tumors, or polyps of large bowel using a flexible endoscope62$20.8K$335.882.25x
43255Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope29$14.4K$498.271.96x
43270Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope14$7.2K$515.232.89x
43237Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope14$5.8K$416.251.83x
45341Ultrasound examination of large bowel using an endoscope12$4.0K$334.931.96x

Markup Analysis

Charge-to-Payment Ratio

2.62x

This provider submits charges 2.62 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. This is higher than the national average.

Location

Topeka, KS

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in KS for peer comparison.

Cotton-Oneil Clinic Endoscopy Center Rvoc Tr (you)
$11.2M
Wichita Asc Lp
$34.0M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Wichita Asc LpWichita, KS$34.0Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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