This provider's $22.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 150% 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 | $2.7K | $393.99 | 6.77x | $2.3K | $1.2M | 3.0K | 21 |
| 2015 | $2.8K | $439.87 | 6.30x | $2.3K | $1.4M | 3.1K | 23 |
| 2016 | $1.8K | $302.43 | 5.97x | $1.5K | $1.7M | 5.6K | 23 |
| 2017 | $2.4K | $462.78 | 5.18x | $1.9K | $2.1M | 4.5K | 27 |
| 2018 | $3.3K | $721.39 | 4.62x | $2.6K | $2.4M | 3.4K | 24 |
| 2019 | $965.21 | $199.59 | 4.84x | $765.62 | $2.5M | 12.3K | 25 |
| 2020 | $932.54 | $197.95 | 4.71x | $734.59 | $2.5M | 12.7K | 27 |
| 2021 | $798.40 | $181.80 | 4.39x | $616.60 | $3.2M | 17.7K | 31 |
| 2022 | $526.55 | $113.13 | 4.65x | $413.42 | $2.6M | 23.0K | 28 |
| 2023 | $589.74 | $134.07 | 4.40x | $455.67 | $2.9M | 21.9K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 14.0K | $2.9M | $205.05 | 10.89x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 193 | $2.4M | $12.2K | 2.40x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 1.4K | $2.0M | $1.4K | 3.33x |
| 55700 | Biopsy of prostate gland | 3.3K | $1.8M | $562.50 | 6.20x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 471 | $1.6M | $3.3K | 2.62x |
| 50590 | Shock wave crushing of kidney stones | 1.1K | $1.1M | $1.1K | 8.77x |
| 54405 | Insertion of multicomponent inflatable penile implant | 92 | $1.1M | $11.5K | 2.61x |
| 52332 | Insertion of stent in ureter using an endoscope | 1.5K | $1.0M | $693.80 | 3.49x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 654 | $901.7K | $1.4K | 5.03x |
| 52353 | Crushing of stone of ureter using an endoscope | 437 | $559.6K | $1.3K | 5.91x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 624 | $556.5K | $891.80 | 3.29x |
| 64581 | Insertion of sacral nerve neurostimulator electrode | 168 | $549.8K | $3.3K | 1.95x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 997 | $547.3K | $548.93 | 4.48x |
| 52351 | Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope | 566 | $447.3K | $790.27 | 4.22x |
| 52352 | Removal or manipulation of stone in ureter or kidney using an endoscope | 591 | $436.9K | $739.20 | 5.06x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 714 | $413.4K | $579.05 | 5.73x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 78 | $359.6K | $4.6K | 1.94x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 390 | $349.6K | $896.52 | 3.34x |
| 52281 | Dilation of urethra using an endoscope | 632 | $346.6K | $548.41 | 4.42x |
| 53445 | Insertion of inflatable urethra or bladder neck sphincter | 28 | $329.7K | $11.8K | 3.57x |
This provider submits charges 4.96 times higher than what Medicare actually pays.
A markup ratio of 4.96x means for every $100 Medicare pays, this provider initially charges $496. 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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