This provider's $20.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.11x is significantly above the specialty median of 6.1x.
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 | $3.9K | $605.26 | 6.38x | $3.3K | $2.6M | 5.4K | 4.8K |
| 2015 | $3.9K | $619.72 | 6.27x | $3.3K | $2.3M | 4.8K | 4.4K |
| 2016 | $4.2K | $640.83 | 6.51x | $3.5K | $2.3M | 4.5K | 4.2K |
| 2017 | $4.8K | $669.61 | 7.16x | $4.1K | $2.2M | 4.3K | 3.9K |
| 2018 | $5.1K | $648.47 | 7.87x | $4.5K | $2.1M | 4.3K | 4.0K |
| 2019 | $5.2K | $667.60 | 7.83x | $4.6K | $2.4M | 4.8K | 4.4K |
| 2020 | $5.6K | $724.24 | 7.68x | $4.8K | $1.7M | 3.3K | 3.0K |
| 2021 | $5.7K | $715.98 | 7.97x | $5.0K | $2.0M | 4.0K | 3.7K |
| 2022 | $5.9K | $695.89 | 8.49x | $5.2K | $1.4M | 2.7K | 2.5K |
| 2023 | $5.7K | $690.71 | 8.23x | $5.0K | $1.5M | 2.9K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.4K | $4.0M | $738.61 | 10.60x |
| 45380 | Biopsy of large bowel using an endoscope | 4.7K | $1.5M | $308.44 | 11.93x |
| V2785 | Processing, preserving and transporting corneal tissue | 475 | $1.3M | $2.8K | 1.33x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.8K | $1.2M | $213.33 | 28.19x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.9K | $1.1M | $586.74 | 9.03x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.5K | $920.9K | $367.93 | 10.52x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.1K | $742.1K | $237.93 | 15.40x |
| 66982 | Removal of cataract with insertion of lens | 831 | $609.4K | $733.36 | 11.59x |
| 55700 | Biopsy of prostate gland | 973 | $578.7K | $594.73 | 6.42x |
| 65756 | Transplant of outer layer of corneal tissue | 361 | $496.7K | $1.4K | 6.01x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 450 | $449.4K | $998.63 | 6.12x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 287 | $383.2K | $1.3K | 7.08x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.1K | $377.6K | $348.38 | 9.98x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 295 | $360.0K | $1.2K | 6.02x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.3K | $344.2K | $268.66 | 13.50x |
| 66180 | Creation of shunt to improve eye fluid flow | 219 | $328.0K | $1.5K | 4.27x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 923 | $326.4K | $353.60 | 10.39x |
| 67042 | Removal of membrane from the retina, pars plana approach | 242 | $323.3K | $1.3K | 7.19x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 224 | $290.1K | $1.3K | 7.47x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 324 | $270.2K | $833.99 | 4.81x |
This provider submits charges 10.11 times higher than what Medicare actually pays.
A markup ratio of 10.11x means for every $100 Medicare pays, this provider initially charges $1011. 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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