This provider's $11.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 124% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 91% 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 | $2.2K | $777.69 | 2.78x | $1.4K | $552.0K | 1.7K | 1.4K |
| 2015 | $2.2K | $728.93 | 3.08x | $1.5K | $576.4K | 1.7K | 1.4K |
| 2016 | $2.3K | $854.18 | 2.70x | $1.5K | $585.9K | 1.7K | 1.5K |
| 2017 | $2.3K | $855.58 | 2.74x | $1.5K | $607.9K | 1.8K | 1.5K |
| 2018 | $4.5K | $2.0K | 2.25x | $2.5K | $1.0M | 2.0K | 1.7K |
| 2019 | $4.8K | $2.1K | 2.29x | $2.7K | $2.0M | 2.4K | 2.1K |
| 2020 | $7.8K | $2.4K | 3.22x | $5.4K | $1.5M | 2.3K | 2.0K |
| 2021 | $6.0K | $1.9K | 3.26x | $4.2K | $1.5M | 2.4K | 2.1K |
| 2022 | $7.5K | $2.4K | 3.19x | $5.2K | $1.3M | 2.2K | 1.9K |
| 2023 | $4.1K | $1.2K | 3.56x | $3.0K | $1.2M | 2.3K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 13.3K | $2.9M | $216.40 | 3.57x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 355 | $1.9M | $5.3K | 2.59x |
| 55700 | Biopsy of prostate gland | 2.7K | $1.6M | $599.93 | 2.94x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 90 | $1.2M | $13.4K | 2.53x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.6K | $940.6K | $599.87 | 2.98x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 201 | $712.4K | $3.5K | 2.57x |
| 50590 | Shock wave crushing of kidney stones | 272 | $314.2K | $1.2K | 6.20x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 376 | $311.6K | $828.86 | 2.29x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 71 | $269.9K | $3.8K | 2.75x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 379 | $258.1K | $680.98 | 2.75x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 370 | $230.1K | $621.90 | 3.24x |
| 55874 | Injection of biodegradable material next to prostate | 32 | $87.6K | $2.7K | 3.18x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 126 | $76.6K | $607.77 | 3.34x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 42 | $64.3K | $1.5K | 3.17x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 26 | $43.6K | $1.7K | 5.08x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 25 | $27.2K | $1.1K | 2.22x |
| 55876 | Placement of device in prostate for radiation therapy | 37 | $23.3K | $629.20 | 2.83x |
| 52204 | Biopsy of the bladder using an endoscope | 32 | $18.2K | $568.35 | 3.52x |
| 54161 | Removal of foreskin, patient older than 28 days of age | 13 | $7.5K | $579.49 | 2.61x |
| 77778 | Application of radiation source, complex | 26 | $7.4K | $285.41 | 3.88x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. This is higher than the national average.
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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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