This provider's $8.9M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.94x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 69% from 2014 to 2023.
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 | $4.6K | $481.10 | 9.59x | $4.1K | $650.7K | 1.9K | 1.6K |
| 2015 | $4.2K | $468.01 | 9.06x | $3.8K | $658.3K | 1.8K | 1.6K |
| 2016 | $4.6K | $537.51 | 8.58x | $4.1K | $672.6K | 1.8K | 1.6K |
| 2017 | $4.5K | $506.17 | 8.90x | $4.0K | $729.3K | 2.1K | 1.8K |
| 2018 | $5.2K | $552.39 | 9.48x | $4.7K | $840.8K | 2.3K | 2.0K |
| 2019 | $5.3K | $730.47 | 7.32x | $4.6K | $1.2M | 2.6K | 2.2K |
| 2020 | $5.8K | $778.27 | 7.49x | $5.0K | $872.1K | 1.9K | 1.6K |
| 2021 | $4.9K | $693.49 | 7.09x | $4.2K | $1.1M | 2.3K | 1.8K |
| 2022 | $6.0K | $722.22 | 8.25x | $5.2K | $1.1M | 2.6K | 2.0K |
| 2023 | $5.2K | $800.30 | 6.54x | $4.4K | $1.1M | 2.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.3K | $1.3M | $569.70 | 7.05x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.3K | $824.8K | $251.00 | 9.29x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 138 | $701.3K | $5.1K | 3.76x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.3K | $490.8K | $216.39 | 14.58x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.1K | $449.4K | $214.73 | 11.40x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 599 | $346.7K | $578.85 | 6.95x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 938 | $326.9K | $348.46 | 8.40x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 88 | $304.2K | $3.5K | 2.68x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 443 | $300.4K | $678.15 | 15.83x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 1.0K | $291.4K | $289.93 | 9.33x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 201 | $252.6K | $1.3K | 10.10x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 161 | $229.1K | $1.4K | 8.93x |
| 45380 | Biopsy of large bowel using an endoscope | 825 | $223.9K | $271.37 | 10.67x |
| 50590 | Shock wave crushing of kidney stones | 184 | $214.3K | $1.2K | 6.82x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 764 | $213.6K | $279.62 | 7.54x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 636 | $209.0K | $328.54 | 8.54x |
| 64721 | Release and/or relocation of median nerve of hand | 347 | $182.5K | $525.86 | 10.87x |
| 47563 | Removal of gallbladder with X-ray study of bile ducts using endoscope | 130 | $181.3K | $1.4K | 4.88x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 644 | $161.9K | $251.35 | 11.37x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 739 | $161.1K | $218.04 | 14.46x |
This provider submits charges 8.94 times higher than what Medicare actually pays.
A markup ratio of 8.94x means for every $100 Medicare pays, this provider initially charges $894. 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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