This provider's $8.7M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 1384% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 139% in 2018
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 | $3.7K | $599.28 | 6.10x | $3.1K | $108.8K | 200 | 171 |
| 2015 | $3.8K | $716.47 | 5.24x | $3.0K | $109.7K | 194 | 170 |
| 2016 | $4.7K | $960.00 | 4.94x | $3.8K | $94.9K | 120 | 117 |
| 2017 | $4.7K | $1.0K | 4.60x | $3.7K | $221.6K | 235 | 224 |
| 2018 | $4.4K | $913.91 | 4.81x | $3.5K | $528.6K | 563 | 540 |
| 2019 | $4.1K | $1.1K | 3.88x | $3.1K | $1.2M | 1.2K | 1.1K |
| 2020 | $4.2K | $1.1K | 3.62x | $3.0K | $978.9K | 818 | 772 |
| 2021 | $6.9K | $1.9K | 3.55x | $4.9K | $1.9M | 1.1K | 1.0K |
| 2022 | $7.3K | $2.1K | 3.48x | $5.2K | $1.9M | 1.1K | 1.0K |
| 2023 | $7.2K | $2.1K | 3.36x | $5.1K | $1.6M | 899 | 861 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 247 | $1.6M | $6.3K | 3.47x |
| 50590 | Shock wave crushing of kidney stones | 1.0K | $1.3M | $1.3K | 4.97x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 54 | $890.5K | $16.5K | 3.41x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 445 | $527.1K | $1.2K | 3.77x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 231 | $414.1K | $1.8K | 3.31x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 215 | $405.3K | $1.9K | 2.02x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 394 | $363.8K | $923.42 | 3.65x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 487 | $344.7K | $707.85 | 3.89x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 79 | $336.1K | $4.3K | 3.77x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 270 | $321.4K | $1.2K | 3.45x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 231 | $228.1K | $987.57 | 4.26x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 157 | $181.6K | $1.2K | 3.57x |
| 64721 | Release and/or relocation of median nerve of hand | 254 | $173.1K | $681.34 | 5.92x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 39 | $169.8K | $4.4K | 3.80x |
| 52204 | Biopsy of the bladder using an endoscope | 233 | $153.8K | $660.12 | 3.95x |
| 52318 | Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters | 120 | $148.1K | $1.2K | 4.90x |
| 36821 | Relocation of arm vein with connection to arm artery, open procedure | 140 | $145.1K | $1.0K | 4.53x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 170 | $121.1K | $712.46 | 3.95x |
| 53854 | Destruction of prostate tissue using radiofrequency induced heated water vapor | 79 | $102.2K | $1.3K | 3.80x |
| 26055 | Incision of tendon covering | 164 | $82.6K | $503.89 | 6.79x |
This provider submits charges 3.89 times higher than what Medicare actually pays.
A markup ratio of 3.89x means for every $100 Medicare pays, this provider initially charges $389. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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