This provider's $24.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 4280% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 520% in 2015
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 | $4.2K | $388.44 | 10.69x | $3.8K | $95.2K | 245 | 7 |
| 2015 | $1.6K | $322.84 | 4.82x | $1.2K | $590.5K | 1.8K | 11 |
| 2016 | $1.1K | $354.73 | 3.22x | $786.52 | $1.7M | 4.7K | 13 |
| 2017 | $1.2K | $382.90 | 3.21x | $846.17 | $2.2M | 5.7K | 13 |
| 2018 | $1.4K | $435.56 | 3.20x | $958.48 | $2.4M | 5.5K | 14 |
| 2019 | $1.3K | $409.23 | 3.28x | $932.37 | $2.3M | 5.6K | 14 |
| 2020 | $1.3K | $432.23 | 2.95x | $843.31 | $2.0M | 4.6K | 10 |
| 2021 | $2.3K | $914.47 | 2.53x | $1.4K | $5.0M | 5.5K | 13 |
| 2022 | $2.1K | $810.58 | 2.58x | $1.3K | $4.4M | 5.5K | 11 |
| 2023 | $2.3K | $821.04 | 2.85x | $1.5K | $4.2M | 5.1K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 2.3K | $7.8M | $3.4K | 2.09x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 25.5K | $5.3M | $206.79 | 2.83x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 287 | $3.9M | $13.6K | 2.67x |
| 55700 | Biopsy of prostate gland | 5.3K | $3.1M | $583.80 | 2.59x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 305 | $1.5M | $4.9K | 2.64x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 2.3K | $1.4M | $583.78 | 6.57x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 99 | $358.5K | $3.6K | 2.50x |
| 55706 | Needle biopsy of prostate gland using image guidance | 306 | $325.0K | $1.1K | 2.68x |
| 76872 | Ultrasound scan of pelvic region through rectum | 5.5K | $236.5K | $42.73 | 2.85x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 481 | $221.4K | $460.31 | 8.21x |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 416 | $155.5K | $373.72 | 10.11x |
| 15732 | Muscle flap wound repair at head and neck | 141 | $103.9K | $736.55 | 6.62x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 149 | $69.4K | $465.44 | 10.94x |
| 15630 | Transfer of skin flap to eyelids, nose, ears, or lips | 119 | $65.8K | $553.36 | 8.84x |
| 15576 | Creation of flap graft to eyelids, nose, ears, lips, or mouth | 120 | $62.1K | $517.77 | 9.45x |
| 66984 | Removal of cataract with insertion of lens | 65 | $46.6K | $717.46 | 8.14x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 94 | $36.6K | $389.06 | 9.75x |
| 15733 | Creation of flap graft to head and/or neck | 28 | $34.1K | $1.2K | 4.01x |
| 67904 | Repair of tendon of upper eyelid | 62 | $28.6K | $461.26 | 9.84x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 21 | $22.9K | $1.1K | 5.31x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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