This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 263% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 145% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $2.8K | $639.95 | 4.44x | $2.2K | $399.6K | 719 | 688 |
| 2019 | $4.8K | $1.2K | 4.04x | $3.6K | $979.0K | 1.6K | 1.5K |
| 2020 | $5.0K | $1.3K | 3.84x | $3.7K | $1.3M | 1.8K | 1.7K |
| 2021 | $4.4K | $1.1K | 3.92x | $3.3K | $1.3M | 1.9K | 1.9K |
| 2022 | $4.6K | $1.2K | 3.81x | $3.4K | $1.5M | 2.1K | 2.0K |
| 2023 | $4.7K | $1.3K | 3.72x | $3.4K | $1.5M | 2.0K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 55700 | Biopsy of prostate gland | 2.4K | $1.5M | $639.10 | 3.79x |
| 50590 | Shock wave crushing of kidney stones | 886 | $864.9K | $976.21 | 4.91x |
| 54405 | Insertion of multi-component inflatable penile prosthesis | 64 | $787.4K | $12.3K | 3.62x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 772 | $700.6K | $907.53 | 4.37x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 412 | $665.7K | $1.6K | 3.60x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 220 | $369.0K | $1.7K | 3.48x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 195 | $212.6K | $1.1K | 3.66x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 132 | $212.3K | $1.6K | 3.23x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 11 | $155.3K | $14.1K | 3.60x |
| 74420 | Imaging of urinary tract | 898 | $139.1K | $154.93 | 4.21x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 76 | $126.7K | $1.7K | 3.51x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 111 | $114.1K | $1.0K | 5.59x |
| 76872 | Ultrasound of rectum | 2.4K | $108.2K | $45.44 | 3.94x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 102 | $103.2K | $1.0K | 3.51x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 19 | $99.3K | $5.2K | 3.95x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 87 | $88.8K | $1.0K | 3.84x |
| 52204 | Biopsy of the bladder using an endoscope | 130 | $72.8K | $559.65 | 4.33x |
| 52318 | Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters | 62 | $63.8K | $1.0K | 4.38x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 34 | $54.2K | $1.6K | 3.50x |
| 52354 | Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope | 34 | $52.7K | $1.5K | 3.88x |
This provider submits charges 4 times higher than what Medicare actually pays.
A markup ratio of 4x means for every $100 Medicare pays, this provider initially charges $400. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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