This provider's $7.3M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 35.61x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 121% 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 | $12.0K | $302.56 | 39.66x | $11.7K | $486.9K | 1.7K | 1.6K |
| 2015 | $12.0K | $338.57 | 35.44x | $11.7K | $530.5K | 1.7K | 1.7K |
| 2016 | $12.0K | $363.14 | 33.05x | $11.6K | $632.9K | 2.0K | 2.0K |
| 2017 | $12.0K | $341.24 | 35.17x | $11.7K | $689.5K | 2.2K | 2.1K |
| 2018 | $12.0K | $317.44 | 37.80x | $11.7K | $750.1K | 2.3K | 2.3K |
| 2019 | $12.0K | $365.38 | 32.84x | $11.6K | $808.6K | 2.4K | 2.4K |
| 2020 | $12.0K | $376.58 | 31.85x | $11.6K | $598.6K | 1.8K | 1.7K |
| 2021 | $12.0K | $386.22 | 31.07x | $11.6K | $783.1K | 2.3K | 2.2K |
| 2022 | $12.0K | $435.37 | 27.56x | $11.6K | $989.8K | 2.8K | 2.7K |
| 2023 | $12.0K | $514.58 | 23.32x | $11.5K | $1.1M | 2.8K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 8.0K | $2.7M | $337.92 | 35.51x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 7.3K | $1.9M | $267.56 | 44.84x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.9K | $1.7M | $442.93 | 27.09x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 887 | $338.4K | $381.49 | 31.46x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 952 | $300.4K | $315.59 | 38.02x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 145 | $86.4K | $595.96 | 20.14x |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 67 | $73.4K | $1.1K | 10.96x |
| 45381 | Injections of large bowel using an endoscope | 265 | $71.7K | $270.54 | 44.36x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 168 | $63.3K | $377.02 | 31.83x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 158 | $45.4K | $287.62 | 41.72x |
| 45382 | Control of bleeding of upper large bowel using a flexible endoscope | 13 | $3.2K | $248.96 | 48.20x |
This provider submits charges 35.61 times higher than what Medicare actually pays.
A markup ratio of 35.61x means for every $100 Medicare pays, this provider initially charges $3561. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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