This provider's $10.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 176% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 135% in 2019
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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $17.2K | $2.6K | 6.71x | $14.7K | $636.4K | 322 | 310 |
| 2019 | $6.5K | $1.8K | 3.63x | $4.7K | $1.5M | 913 | 831 |
| 2020 | $9.1K | $2.4K | 3.84x | $6.7K | $1.9M | 1.1K | 996 |
| 2021 | $7.8K | $1.9K | 4.04x | $5.9K | $2.0M | 1.2K | 1.2K |
| 2022 | $8.6K | $1.8K | 4.74x | $6.8K | $2.4M | 1.2K | 1.1K |
| 2023 | $10.2K | $2.0K | 5.07x | $8.2K | $1.8M | 1.0K | 944 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 200 | $2.8M | $13.8K | 4.05x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 312 | $1.6M | $5.2K | 3.90x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 311 | $1.1M | $3.6K | 4.05x |
| 50590 | Shock wave crushing of kidney stones | 1.1K | $1.1M | $1.0K | 9.00x |
| 55700 | Biopsy of prostate gland | 880 | $534.6K | $607.51 | 4.11x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 512 | $437.1K | $853.65 | 5.89x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 273 | $418.1K | $1.5K | 5.82x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 300 | $305.8K | $1.0K | 4.23x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 79 | $293.5K | $3.7K | 3.72x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 111 | $214.1K | $1.9K | 3.72x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 203 | $188.5K | $928.34 | 4.02x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 174 | $181.5K | $1.0K | 4.21x |
| 54405 | Insertion of multi-component inflatable penile prosthesis | 12 | $138.2K | $11.5K | 3.49x |
| 52204 | Biopsy of the bladder using an endoscope | 214 | $126.2K | $589.55 | 4.08x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 92 | $94.8K | $1.0K | 6.94x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 50 | $75.7K | $1.5K | 4.14x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 71 | $75.2K | $1.1K | 4.15x |
| 55874 | Injection of biodegradable material next to prostate | 27 | $73.4K | $2.7K | 5.01x |
| 74420 | Imaging of urinary tract | 365 | $54.1K | $148.15 | 4.78x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 22 | $52.8K | $2.4K | 7.73x |
This provider submits charges 4.79 times higher than what Medicare actually pays.
A markup ratio of 4.79x means for every $100 Medicare pays, this provider initially charges $479. 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 MO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Des Peres Eye Surgery Center, Llc | Saint Louis, MO | $41.9M | ✓ 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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