This provider's $8.2M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 114% 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 | $451.89 | 3.02x | $911.58 | $417.3K | 1.6K | 1.4K |
| 2015 | $2.2K | $586.49 | 3.72x | $1.6K | $581.5K | 1.7K | 1.5K |
| 2016 | $2.5K | $609.19 | 4.06x | $1.9K | $663.4K | 1.8K | 1.6K |
| 2017 | $3.1K | $913.24 | 3.36x | $2.2K | $915.1K | 1.9K | 1.7K |
| 2018 | $4.6K | $1.6K | 2.94x | $3.0K | $1.2M | 1.9K | 1.8K |
| 2019 | $3.1K | $757.22 | 4.07x | $2.3K | $954.8K | 1.9K | 1.8K |
| 2020 | $3.2K | $814.10 | 3.95x | $2.4K | $768.9K | 1.5K | 1.4K |
| 2021 | $3.4K | $905.63 | 3.72x | $2.5K | $929.6K | 1.8K | 1.5K |
| 2022 | $4.2K | $1.0K | 4.12x | $3.2K | $850.1K | 1.7K | 1.5K |
| 2023 | $5.6K | $1.1K | 5.11x | $4.5K | $892.7K | 1.7K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 8.9K | $2.0M | $219.04 | 5.11x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 311 | $1.6M | $5.2K | 3.12x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 571 | $820.3K | $1.4K | 5.38x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.1K | $669.8K | $602.89 | 3.73x |
| 55700 | Biopsy of prostate gland | 1.0K | $608.9K | $593.44 | 3.32x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 405 | $590.3K | $1.5K | 3.98x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 304 | $286.5K | $942.51 | 3.60x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 358 | $282.0K | $787.59 | 5.11x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 435 | $263.1K | $604.92 | 4.53x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 13 | $163.6K | $12.6K | 2.26x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 175 | $127.0K | $725.98 | 3.98x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 134 | $118.1K | $881.56 | 4.05x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 31 | $108.5K | $3.5K | 2.14x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 133 | $106.5K | $800.47 | 5.12x |
| 52204 | Biopsy of the bladder using an endoscope | 146 | $79.0K | $541.02 | 4.31x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 578 | $68.5K | $118.52 | 5.69x |
| 76872 | Ultrasound of rectum | 1.3K | $57.8K | $44.88 | 5.05x |
| 50590 | Shock wave crushing of kidney stones | 43 | $56.0K | $1.3K | 3.32x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 11 | $41.8K | $3.8K | 2.83x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 66 | $38.0K | $575.37 | 2.64x |
This provider submits charges 4.18 times higher than what Medicare actually pays.
A markup ratio of 4.18x means for every $100 Medicare pays, this provider initially charges $418. 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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