This provider's $15.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2021% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1565% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $622.75 | $248.33 | 2.51x | $374.42 | $165.6K | 667 | 6 |
| 2015 | $679.77 | $261.00 | 2.60x | $418.77 | $152.2K | 583 | 6 |
| 2016 | $988.13 | $288.56 | 3.42x | $699.57 | $162.2K | 562 | 5 |
| 2017 | $1.1K | $273.11 | 4.09x | $844.65 | $143.7K | 526 | 4 |
| 2018 | $1.1K | $266.87 | 4.17x | $846.92 | $103.0K | 386 | 4 |
| 2019 | $384.35 | $97.83 | 3.93x | $286.52 | $1.7M | 17.5K | 20 |
| 2020 | $461.86 | $119.94 | 3.85x | $341.92 | $3.2M | 26.3K | 30 |
| 2021 | $404.32 | $105.02 | 3.85x | $299.30 | $3.1M | 29.6K | 26 |
| 2022 | $457.07 | $112.76 | 4.05x | $344.31 | $3.5M | 31.4K | 32 |
| 2023 | $673.07 | $119.24 | 5.64x | $553.83 | $3.5M | 29.5K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 442 | $2.4M | $5.4K | 3.77x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 9.6K | $2.1M | $215.81 | 5.73x |
| 55700 | Biopsy of prostate gland | 2.6K | $1.6M | $609.68 | 3.90x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 681 | $1.0M | $1.5K | 4.85x |
| 54405 | Insertion of multicomponent inflatable penile implant | 82 | $985.9K | $12.0K | 3.10x |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 550 | $867.0K | $1.6K | 3.88x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 57 | $806.7K | $14.2K | 3.24x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 216 | $794.5K | $3.7K | 3.38x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 1.2K | $739.9K | $608.47 | 4.38x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 100.4K | $490.6K | $4.89 | 3.25x |
| 50081 | Complex surgical treatment of kidney stone with imaging guidance | 145 | $466.5K | $3.2K | 4.20x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 759 | $460.3K | $606.50 | 5.36x |
| C2639 | Brachytherapy source, non-stranded, iodine-125, per source | 11.7K | $321.2K | $27.44 | 3.15x |
| 52332 | Insertion of stent in ureter using an endoscope | 368 | $277.0K | $752.67 | 5.75x |
| 55875 | Insertion of needle or tube into prostate for radiation therapy | 157 | $246.7K | $1.6K | 5.49x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 147 | $233.0K | $1.6K | 3.43x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 197 | $202.6K | $1.0K | 3.58x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 183 | $187.7K | $1.0K | 3.58x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 200 | $163.3K | $816.71 | 3.51x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 155 | $151.6K | $978.28 | 4.09x |
This provider submits charges 4.28 times higher than what Medicare actually pays.
A markup ratio of 4.28x means for every $100 Medicare pays, this provider initially charges $428. 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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