This provider's $40.0M in total Medicare payments ranks in the 99th 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.
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 | $958.16 | $207.08 | 4.63x | $751.08 | $3.0M | 14.4K | 41 |
| 2015 | $871.12 | $191.39 | 4.55x | $679.73 | $3.7M | 19.5K | 44 |
| 2016 | $951.50 | $197.78 | 4.81x | $753.72 | $3.6M | 18.0K | 42 |
| 2017 | $959.95 | $196.76 | 4.88x | $763.19 | $4.0M | 20.5K | 42 |
| 2018 | $979.54 | $217.36 | 4.51x | $762.18 | $4.8M | 22.1K | 42 |
| 2019 | $1.1K | $218.08 | 4.83x | $835.70 | $4.3M | 19.8K | 46 |
| 2020 | $1.1K | $237.30 | 4.58x | $849.62 | $3.8M | 15.8K | 44 |
| 2021 | $1.1K | $233.25 | 4.66x | $852.99 | $4.3M | 18.5K | 44 |
| 2022 | $928.83 | $185.56 | 5.01x | $743.27 | $3.9M | 21.0K | 40 |
| 2023 | $1.1K | $242.65 | 4.58x | $868.17 | $4.5M | 18.7K | 40 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 906 | $4.2M | $4.6K | 2.48x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11.7K | $3.8M | $326.21 | 5.18x |
| C2638 | Brachytherapy source, stranded, iodine-125, per source | 62.9K | $1.9M | $30.14 | 2.63x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 7.2K | $1.8M | $249.77 | 6.78x |
| 52281 | Dilation of urethra using an endoscope | 3.3K | $1.7M | $511.96 | 4.13x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 8.3K | $1.6M | $188.35 | 8.99x |
| 52005 | Insertion of tube into ureter using an endoscope through bladder area | 2.6K | $1.6M | $597.56 | 4.96x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 135 | $1.6M | $11.6K | 2.38x |
| 50590 | Shock wave crushing of kidney stones | 1.5K | $1.6M | $1.0K | 9.63x |
| 52332 | Insertion of stent in ureter using an endoscope | 1.9K | $1.4M | $728.95 | 3.77x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 394 | $1.2M | $3.1K | 2.99x |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 4.9K | $1.1M | $227.75 | 7.38x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 362 | $1.1M | $3.1K | 2.65x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 5.5K | $1.1M | $192.14 | 6.30x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 763 | $1.0M | $1.3K | 2.72x |
| 55700 | Biopsy of prostate gland | 1.9K | $1.0M | $531.03 | 3.17x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 4.2K | $1.0M | $240.36 | 5.08x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 3.2K | $992.5K | $305.47 | 4.43x |
| 55875 | Insertion of needle or tube into prostate for radiation therapy | 774 | $854.1K | $1.1K | 9.09x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 1.6K | $814.5K | $497.54 | 3.42x |
This provider submits charges 4.7 times higher than what Medicare actually pays.
A markup ratio of 4.7x means for every $100 Medicare pays, this provider initially charges $470. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | ✓ 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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