This provider's $3.6M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2084% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 631% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $1.4K | $264.15 | 5.18x | $1.1K | $25.6K | 97 | 86 |
| 2016 | $2.9K | $993.16 | 2.92x | $1.9K | $187.3K | 382 | 321 |
| 2017 | $2.2K | $685.42 | 3.19x | $1.5K | $132.7K | 353 | 294 |
| 2018 | $5.1K | $1.6K | 3.18x | $3.5K | $293.3K | 434 | 359 |
| 2019 | $4.1K | $1.4K | 2.97x | $2.7K | $428.6K | 500 | 416 |
| 2020 | $6.0K | $2.1K | 2.87x | $3.9K | $591.4K | 557 | 475 |
| 2021 | $3.5K | $1.6K | 2.17x | $1.9K | $670.6K | 639 | 570 |
| 2022 | $3.4K | $1.3K | 2.54x | $2.1K | $675.4K | 636 | 571 |
| 2023 | $2.9K | $1.2K | 2.32x | $1.6K | $559.7K | 574 | 517 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 343 | $2.0M | $6.0K | 2.06x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 2.8K | $689.3K | $245.73 | 5.61x |
| 55700 | Biopsy of prostate gland | 315 | $217.0K | $688.94 | 2.97x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 228 | $157.9K | $692.35 | 2.83x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 54 | $99.3K | $1.8K | 2.25x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 80 | $70.4K | $880.51 | 2.95x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 83 | $59.0K | $711.20 | 3.28x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 52 | $55.6K | $1.1K | 3.16x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 13 | $53.2K | $4.1K | 3.17x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 21 | $38.3K | $1.8K | 3.03x |
| 50590 | Shock wave crushing of kidney stones | 22 | $32.0K | $1.5K | 6.00x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 41 | $28.5K | $694.00 | 3.83x |
| 53850 | Destruction of prostate tissue through bladder canal (urethra) | 23 | $17.2K | $749.45 | 10.06x |
| 76872 | Ultrasound of rectum | 50 | $2.5K | $49.73 | 7.49x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 42 | $207.10 | $4.93 | 2.03x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $38.7M | โ 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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