This provider's $12.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.04x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 87% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $7.2K | $809.42 | 8.85x | $6.4K | $772.7K | 1.9K | 1.6K |
| 2015 | $9.4K | $1.5K | 6.32x | $7.9K | $1.1M | 2.0K | 1.6K |
| 2016 | $9.1K | $1.4K | 6.68x | $7.7K | $916.8K | 1.9K | 1.6K |
| 2017 | $12.0K | $1.4K | 8.39x | $10.5K | $1.2M | 2.0K | 1.7K |
| 2018 | $12.3K | $1.4K | 8.54x | $10.9K | $1.3M | 2.1K | 1.8K |
| 2019 | $13.2K | $1.5K | 8.66x | $11.7K | $1.2M | 1.9K | 1.6K |
| 2020 | $15.2K | $1.6K | 9.45x | $13.6K | $1.2M | 1.8K | 1.6K |
| 2021 | $15.3K | $1.7K | 9.20x | $13.7K | $1.3M | 2.0K | 1.7K |
| 2022 | $18.1K | $1.8K | 9.91x | $16.3K | $1.5M | 1.9K | 1.7K |
| 2023 | $20.2K | $1.8K | 11.35x | $18.4K | $1.4M | 2.0K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 12.0K | $2.7M | $221.94 | 20.31x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 172 | $2.3M | $13.5K | 2.65x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 667 | $978.5K | $1.5K | 15.95x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.4K | $839.2K | $612.98 | 11.02x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 229 | $836.4K | $3.7K | 9.45x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 455 | $671.0K | $1.5K | 15.47x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 109 | $614.2K | $5.6K | 5.54x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 540 | $441.2K | $817.01 | 28.14x |
| 50590 | Shock wave crushing of kidney stones | 362 | $372.2K | $1.0K | 23.51x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 196 | $305.8K | $1.6K | 8.47x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 303 | $301.5K | $995.12 | 8.58x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 453 | $274.2K | $605.39 | 13.03x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 246 | $238.9K | $971.02 | 9.36x |
| 52204 | Biopsy of the bladder using an endoscope | 293 | $195.0K | $665.54 | 11.91x |
| 55700 | Biopsy of prostate gland | 285 | $176.1K | $617.72 | 18.39x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 242 | $148.4K | $613.42 | 14.71x |
| 52318 | Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters | 113 | $115.7K | $1.0K | 7.67x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 150 | $113.2K | $754.64 | 10.30x |
| 74420 | Imaging of urinary tract | 457 | $72.2K | $157.99 | 10.36x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 46 | $69.4K | $1.5K | 17.52x |
This provider submits charges 13.04 times higher than what Medicare actually pays.
A markup ratio of 13.04x means for every $100 Medicare pays, this provider initially charges $1304. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Harmony Surgery Center, Llc | Fort Collins, CO | $37.3M | โ Clear |
| Surgery Center Of Northern Colorado | Fort Collins, CO | $35.8M | โ 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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