This provider's $24.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.66x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2017
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 | $12.5K | $1.4K | 8.83x | $11.1K | $2.6M | 1.3K | 1.2K |
| 2015 | $14.8K | $1.5K | 10.02x | $13.3K | $1.5M | 1.1K | 995 |
| 2016 | $16.4K | $1.7K | 9.53x | $14.7K | $2.3M | 1.8K | 1.5K |
| 2017 | $14.3K | $1.7K | 8.34x | $12.6K | $3.9M | 2.3K | 2.0K |
| 2018 | $15.2K | $1.6K | 9.57x | $13.6K | $3.5M | 2.1K | 1.8K |
| 2019 | $15.2K | $1.9K | 8.05x | $13.3K | $2.4M | 1.6K | 1.4K |
| 2020 | $14.6K | $1.8K | 8.16x | $12.8K | $2.0M | 1.4K | 1.2K |
| 2021 | $8.8K | $1.9K | 4.63x | $6.9K | $2.2M | 1.3K | 1.1K |
| 2022 | $9.9K | $2.0K | 4.94x | $7.9K | $1.8M | 1.1K | 839 |
| 2023 | $7.9K | $1.9K | 4.17x | $6.0K | $2.0M | 938 | 736 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 632 | $8.0M | $12.7K | 2.76x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 920 | $4.6M | $5.0K | 3.77x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 1.0K | $3.4M | $3.3K | 4.86x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 493 | $1.8M | $3.7K | 3.92x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 1.5K | $840.2K | $570.78 | 12.59x |
| 54405 | Insertion of multi-component inflatable penile prosthesis | 86 | $836.3K | $9.7K | 3.58x |
| 64585 | Revision or removal of peripheral neurostimulator electrode array | 614 | $701.8K | $1.1K | 4.54x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 342 | $485.3K | $1.4K | 20.58x |
| 52260 | Dilation of the bladder using an endoscope under general or spinal anesthesia | 826 | $444.8K | $538.46 | 19.21x |
| 74420 | Imaging of urinary tract | 2.5K | $379.8K | $149.11 | 3.67x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 458 | $378.7K | $826.75 | 19.39x |
| 55700 | Biopsy of prostate gland | 524 | $288.5K | $550.48 | 22.16x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 466 | $272.9K | $585.72 | 9.94x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 423 | $249.4K | $589.52 | 16.79x |
| 52275 | Incision of the bladder canal (urethra) using an endoscope, male | 434 | $217.9K | $502.01 | 28.86x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 219 | $133.1K | $607.67 | 13.18x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 602 | $106.3K | $176.60 | 50.15x |
| 52204 | Biopsy of the bladder using an endoscope | 132 | $105.1K | $796.12 | 20.74x |
| 53852 | Destruction of prostate tissue through bladder canal (urethra) | 120 | $102.1K | $850.87 | 29.72x |
| 52341 | Treatment of stricture in urinary duct (ureter) using an endoscope | 155 | $95.1K | $613.35 | 21.69x |
This provider submits charges 6.66 times higher than what Medicare actually pays.
A markup ratio of 6.66x means for every $100 Medicare pays, this provider initially charges $666. 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.
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