This provider's $14.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 64% 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 | $1.4K | $263.57 | 5.31x | $1.1K | $1.2M | 4.4K | 4.4K |
| 2015 | $1.4K | $290.22 | 4.82x | $1.1K | $1.2M | 4.4K | 4.3K |
| 2016 | $1.4K | $291.32 | 4.81x | $1.1K | $1.3M | 4.5K | 4.5K |
| 2017 | $1.4K | $298.83 | 4.85x | $1.2K | $1.3M | 4.6K | 4.6K |
| 2018 | $1.4K | $300.41 | 4.83x | $1.1K | $1.4M | 4.7K | 4.7K |
| 2019 | $1.4K | $294.51 | 4.92x | $1.2K | $1.4M | 4.6K | 4.6K |
| 2020 | $1.4K | $302.17 | 4.80x | $1.1K | $1.3M | 4.3K | 4.3K |
| 2021 | $1.5K | $310.80 | 4.87x | $1.2K | $1.8M | 5.5K | 5.5K |
| 2022 | $1.5K | $326.39 | 4.72x | $1.2K | $1.7M | 5.3K | 5.3K |
| 2023 | $1.6K | $366.79 | 4.23x | $1.2K | $1.9M | 5.4K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 12.4K | $4.7M | $374.56 | 3.92x |
| 45380 | Biopsy of large bowel using an endoscope | 12.5K | $3.8M | $303.61 | 4.80x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 9.6K | $2.1M | $223.54 | 6.54x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 4.1K | $1.4M | $354.44 | 4.13x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 2.3K | $798.7K | $352.46 | 4.13x |
| 43450 | Dilation of esophagus | 2.2K | $603.1K | $270.19 | 5.43x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 2.1K | $448.7K | $216.88 | 6.77x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.1K | $290.4K | $265.17 | 5.46x |
| 45381 | Injections of large bowel using an endoscope | 615 | $130.8K | $212.68 | 6.88x |
| 43249 | Balloon dilation of esophagus using an endoscope | 235 | $113.4K | $482.72 | 3.03x |
| 45331 | Biopsy of large bowel using an endoscope | 302 | $71.2K | $235.80 | 6.18x |
| 45390 | Removal of large bowel tissue using an endoscope | 150 | $50.2K | $334.55 | 4.25x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 163 | $44.5K | $272.95 | 5.16x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 84 | $39.3K | $467.27 | 3.13x |
| 45388 | Destruction of large bowel growths using an endoscope | 46 | $14.6K | $317.91 | 4.44x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 26 | $2.1K | $82.14 | 17.04x |
This provider submits charges 4.78 times higher than what Medicare actually pays.
A markup ratio of 4.78x means for every $100 Medicare pays, this provider initially charges $478. 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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