This provider's $7.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2019
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 | $3.1K | $887.32 | 3.53x | $2.2K | $569.1K | 1.6K | 1.4K |
| 2015 | $2.8K | $751.41 | 3.69x | $2.0K | $612.2K | 1.7K | 1.5K |
| 2016 | $2.5K | $719.22 | 3.49x | $1.8K | $663.3K | 1.7K | 1.5K |
| 2017 | $2.4K | $660.37 | 3.62x | $1.7K | $625.4K | 1.7K | 1.5K |
| 2018 | $2.0K | $551.36 | 3.65x | $1.5K | $539.2K | 1.5K | 1.3K |
| 2019 | $3.1K | $997.44 | 3.10x | $2.1K | $871.9K | 1.9K | 1.6K |
| 2020 | $3.2K | $1.0K | 3.10x | $2.2K | $1.0M | 1.8K | 1.6K |
| 2021 | $3.4K | $1.1K | 3.10x | $2.3K | $1.0M | 1.7K | 1.5K |
| 2022 | $3.6K | $1.1K | 3.26x | $2.5K | $916.9K | 1.6K | 1.5K |
| 2023 | $3.8K | $1.2K | 3.11x | $2.5K | $759.6K | 1.6K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 9.5K | $2.3M | $238.44 | 6.60x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 208 | $1.2M | $5.9K | 2.79x |
| 55700 | Biopsy of prostate gland | 1.6K | $1.1M | $648.45 | 3.22x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.2K | $809.6K | $658.74 | 2.78x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 460 | $742.8K | $1.6K | 3.30x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 372 | $308.9K | $830.46 | 3.76x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 222 | $167.1K | $752.52 | 3.96x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 113 | $129.2K | $1.1K | 2.88x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 190 | $127.9K | $672.95 | 4.07x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 90 | $115.7K | $1.3K | 2.78x |
| 74420 | Imaging of urinary tract | 678 | $111.5K | $164.48 | 3.12x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 103 | $106.0K | $1.0K | 2.80x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 169 | $104.8K | $619.96 | 2.83x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 95 | $101.3K | $1.1K | 3.18x |
| 76872 | Ultrasound of rectum | 1.5K | $74.5K | $49.36 | 3.88x |
| 50590 | Shock wave crushing of kidney stones | 42 | $59.0K | $1.4K | 5.84x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 13 | $38.1K | $2.9K | 3.31x |
| 52601 | Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope | 11 | $18.7K | $1.7K | 3.00x |
| 55706 | Needle biopsy of prostate gland using image guidance | 12 | $14.9K | $1.2K | 3.07x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 191 | $911.73 | $4.77 | 3.19x |
This provider submits charges 4.18 times higher than what Medicare actually pays.
A markup ratio of 4.18x means for every $100 Medicare pays, this provider initially charges $418. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bend Surgery Center Llc | Bend, OR | $35.4M | ✓ 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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