This provider's $22.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $702.97 | $268.84 | 2.61x | $434.13 | $2.0M | 7.5K | 27 |
| 2015 | $629.31 | $242.42 | 2.60x | $386.89 | $2.1M | 8.7K | 28 |
| 2016 | $938.51 | $364.02 | 2.58x | $574.49 | $2.0M | 5.4K | 25 |
| 2017 | $582.26 | $242.82 | 2.40x | $339.44 | $2.2M | 9.1K | 26 |
| 2018 | $753.00 | $285.68 | 2.64x | $467.32 | $2.0M | 6.9K | 21 |
| 2019 | $786.49 | $295.11 | 2.67x | $491.38 | $1.9M | 6.3K | 17 |
| 2020 | $835.34 | $326.19 | 2.56x | $509.15 | $2.0M | 6.2K | 16 |
| 2021 | $981.20 | $358.10 | 2.74x | $623.10 | $2.9M | 8.0K | 23 |
| 2022 | $855.61 | $308.29 | 2.78x | $547.32 | $2.5M | 8.2K | 21 |
| 2023 | $966.29 | $370.90 | 2.61x | $595.39 | $2.9M | 7.9K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 297 | $3.8M | $12.7K | 2.42x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 1.1K | $3.4M | $3.2K | 2.28x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 636 | $3.2M | $5.1K | 2.87x |
| 55700 | Biopsy of prostate gland | 4.5K | $2.6M | $567.17 | 2.26x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 8.6K | $1.7M | $198.52 | 3.04x |
| 50590 | Shock wave crushing of kidney stones | 749 | $856.8K | $1.1K | 3.70x |
| 54405 | Insertion of multicomponent inflatable penile implant | 69 | $818.3K | $11.9K | 1.96x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 208 | $740.6K | $3.6K | 3.14x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 406 | $554.6K | $1.4K | 2.62x |
| 52332 | Insertion of stent in ureter using an endoscope | 677 | $493.2K | $728.57 | 3.02x |
| 52281 | Dilation of urethra using an endoscope | 748 | $409.8K | $547.80 | 2.33x |
| 52204 | Biopsy of bladder using an endoscope | 576 | $345.6K | $600.00 | 3.40x |
| 76872 | Ultrasound scan of pelvic region through rectum | 6.5K | $278.1K | $43.04 | 3.58x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 536 | $275.3K | $513.64 | 2.51x |
| C2638 | Brachytherapy source, stranded, iodine-125, per source | 9.1K | $233.3K | $25.65 | 1.80x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 172 | $188.4K | $1.1K | 2.74x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 202 | $181.9K | $900.49 | 2.42x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 190 | $170.7K | $898.57 | 2.43x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 32.6K | $156.4K | $4.80 | 1.38x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 175 | $140.3K | $801.46 | 2.78x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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