This provider's $4.5M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.49x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 197% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 99% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $15.5K | $2.9K | 5.27x | $12.6K | $760.9K | 209 | 200 |
| 2022 | $14.7K | $2.6K | 5.68x | $12.1K | $1.5M | 477 | 414 |
| 2023 | $12.1K | $2.1K | 5.70x | $9.9K | $2.3M | 819 | 752 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 173 | $2.5M | $14.3K | 5.15x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 156 | $578.4K | $3.7K | 5.81x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 114 | $186.2K | $1.6K | 5.90x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 37 | $141.1K | $3.8K | 5.02x |
| 51715 | Injection of implant material beneath lining of bladder and/or bladder canal (urethra) using endoscope | 89 | $135.9K | $1.5K | 5.78x |
| 55874 | Injection of biodegradable material next to prostate | 49 | $135.0K | $2.8K | 5.74x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 145 | $115.0K | $793.32 | 8.15x |
| 53440 | Creation of sling around urethra in male to control leakage | 15 | $110.9K | $7.4K | 5.69x |
| 52649 | Laser fragmentation of prostate tissue with control of bleeding using an endoscope | 54 | $91.4K | $1.7K | 5.71x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 16 | $89.1K | $5.6K | 5.76x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 51 | $86.4K | $1.7K | 5.77x |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 40 | $65.3K | $1.6K | 5.99x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 36 | $39.7K | $1.1K | 5.88x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 37 | $35.4K | $957.92 | 6.83x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 32 | $33.7K | $1.1K | 5.87x |
| 52354 | Biopsy and/or destruction of growth of ureter or kidney using an endoscope | 20 | $32.5K | $1.6K | 6.18x |
| 55876 | Placement of device in prostate for radiation therapy | 46 | $32.1K | $698.23 | 5.74x |
| 55700 | Biopsy of prostate gland | 45 | $28.9K | $643.11 | 5.85x |
| 74420 | Imaging of urinary tract | 186 | $27.5K | $148.07 | 5.71x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 26 | $27.1K | $1.0K | 6.24x |
This provider submits charges 5.49 times higher than what Medicare actually pays.
A markup ratio of 5.49x means for every $100 Medicare pays, this provider initially charges $549. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data