This provider's $4.9M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1147% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 229% 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 | $1.5K | $410.88 | 3.72x | $1.1K | $128.2K | 443 | 439 |
| 2019 | $3.4K | $940.73 | 3.65x | $2.5K | $421.1K | 1.2K | 1.1K |
| 2020 | $3.2K | $798.05 | 3.99x | $2.4K | $578.8K | 1.3K | 1.2K |
| 2021 | $3.5K | $982.36 | 3.58x | $2.5K | $853.7K | 1.5K | 1.4K |
| 2022 | $6.3K | $1.7K | 3.75x | $4.6K | $1.4M | 1.8K | 1.7K |
| 2023 | $8.0K | $1.9K | 4.12x | $6.1K | $1.6M | 1.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 254 | $1.4M | $5.3K | 4.05x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 3.7K | $775.6K | $211.68 | 6.63x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 39 | $556.6K | $14.3K | 3.30x |
| 55700 | Biopsy of prostate gland | 874 | $527.6K | $603.66 | 3.93x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 69 | $253.7K | $3.7K | 3.45x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 376 | $230.3K | $612.42 | 5.57x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 342 | $206.3K | $603.07 | 4.31x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 103 | $164.2K | $1.6K | 4.72x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 152 | $124.3K | $818.06 | 5.22x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 115 | $108.1K | $940.01 | 3.72x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 108 | $106.4K | $985.13 | 3.75x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 88 | $91.1K | $1.0K | 3.57x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 120 | $73.1K | $609.30 | 3.94x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 44 | $65.8K | $1.5K | 3.26x |
| 52204 | Biopsy of the bladder using an endoscope | 87 | $51.4K | $590.48 | 3.57x |
| 52240 | Destruction and/or removal of large growth of bladder using an endoscope | 29 | $45.9K | $1.6K | 3.27x |
| 76872 | Ultrasound of rectum | 879 | $37.8K | $42.98 | 7.13x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 22 | $34.9K | $1.6K | 3.59x |
| C9739 | Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants | 13 | $34.0K | $2.6K | 3.20x |
| 50590 | Shock wave crushing of kidney stones | 37 | $33.8K | $914.65 | 5.52x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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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