This provider's $10.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1333% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 602% 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 | $1.6K | $316.75 | 5.02x | $1.3K | $135.1K | 410 | 309 |
| 2015 | $1.5K | $291.28 | 5.06x | $1.2K | $127.3K | 402 | 318 |
| 2016 | $1.4K | $309.73 | 4.53x | $1.1K | $106.0K | 328 | 262 |
| 2017 | $1.4K | $305.40 | 4.73x | $1.1K | $144.3K | 476 | 413 |
| 2018 | $1.5K | $313.68 | 4.65x | $1.1K | $213.8K | 705 | 623 |
| 2019 | $5.3K | $1.5K | 3.61x | $3.8K | $1.5M | 2.2K | 2.1K |
| 2020 | $5.4K | $1.5K | 3.65x | $3.9K | $2.7M | 3.8K | 3.5K |
| 2021 | $5.6K | $1.6K | 3.60x | $4.1K | $1.9M | 3.1K | 2.8K |
| 2022 | $5.9K | $1.5K | 3.97x | $4.4K | $1.9M | 2.9K | 2.6K |
| 2023 | $6.3K | $1.5K | 4.11x | $4.7K | $1.9M | 2.9K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 530 | $2.5M | $4.7K | 3.54x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 140 | $1.7M | $12.2K | 2.99x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 6.9K | $1.3M | $187.36 | 6.05x |
| 55700 | Biopsy of prostate gland | 1.5K | $836.6K | $540.79 | 3.31x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 200 | $636.5K | $3.2K | 3.10x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 338 | $468.4K | $1.4K | 5.50x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 535 | $288.1K | $538.56 | 4.60x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 86 | $284.1K | $3.3K | 3.11x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 157 | $219.6K | $1.4K | 4.42x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 457 | $218.6K | $478.29 | 2.70x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 369 | $199.5K | $540.58 | 5.63x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 120 | $170.4K | $1.4K | 4.48x |
| 52649 | Laser fragmentation of prostate tissue with control of bleeding using an endoscope | 112 | $157.8K | $1.4K | 4.54x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 162 | $148.5K | $916.48 | 3.84x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 90 | $126.2K | $1.4K | 4.67x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 138 | $122.8K | $890.09 | 3.91x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 127 | $110.1K | $866.66 | 4.19x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 442 | $103.6K | $234.49 | 6.53x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 144 | $97.1K | $674.05 | 5.39x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 157 | $85.0K | $541.34 | 3.06x |
This provider submits charges 4.07 times higher than what Medicare actually pays.
A markup ratio of 4.07x means for every $100 Medicare pays, this provider initially charges $407. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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