This provider's $5.7M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 716% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 114% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $1.7K | $1.3K | 1.34x | $433.06 | $213.8K | 265 | 263 |
| 2019 | $6.0K | $2.0K | 2.96x | $4.0K | $457.1K | 535 | 531 |
| 2020 | $16.3K | $3.5K | 4.71x | $12.8K | $961.3K | 629 | 622 |
| 2021 | $14.6K | $3.2K | 4.57x | $11.4K | $1.3M | 764 | 757 |
| 2022 | $5.9K | $2.3K | 2.56x | $3.6K | $1.1M | 759 | 735 |
| 2023 | $4.7K | $2.0K | 2.38x | $2.7K | $1.7M | 1.2K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 383 | $1.8M | $4.8K | 3.43x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 117 | $1.5M | $12.7K | 3.46x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 302 | $976.9K | $3.2K | 2.24x |
| 55700 | Biopsy of prostate gland | 1.3K | $688.1K | $542.23 | 2.14x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 45 | $152.3K | $3.4K | 5.73x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 117 | $109.6K | $936.98 | 2.38x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 66 | $99.3K | $1.5K | 2.31x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 53 | $80.1K | $1.5K | 2.12x |
| 52332 | Insertion of stent in ureter using an endoscope | 83 | $70.2K | $845.61 | 2.61x |
| 76872 | Ultrasound of rectum | 1.3K | $48.3K | $37.47 | 2.41x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 32 | $43.4K | $1.4K | 2.20x |
| 55874 | Injection of biodegradable material next to prostate | 17 | $40.9K | $2.4K | 2.50x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 165 | $27.6K | $167.07 | 2.99x |
| 52353 | Crushing of stone of ureter using an endoscope | 14 | $19.6K | $1.4K | 3.12x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 15 | $15.1K | $1.0K | 1.98x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 14 | $13.1K | $937.36 | 2.35x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 13 | $12.4K | $957.00 | 2.30x |
| 55876 | Placement of device in prostate for radiation therapy | 17 | $10.4K | $609.07 | 2.46x |
| 52204 | Biopsy of bladder using an endoscope | 11 | $6.1K | $555.50 | 3.60x |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 49 | $5.0K | $102.61 | 1.41x |
This provider submits charges 3.04 times higher than what Medicare actually pays.
A markup ratio of 3.04x means for every $100 Medicare pays, this provider initially charges $304. 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 |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | โ Clear |
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | โ 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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