This provider's $7.9M 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.
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 | $2.8K | $732.65 | 3.77x | $2.0K | $717.9K | 1.2K | 1.1K |
| 2015 | $2.7K | $739.50 | 3.68x | $2.0K | $713.9K | 1.2K | 1.2K |
| 2016 | $2.7K | $711.60 | 3.76x | $2.0K | $767.3K | 1.3K | 1.2K |
| 2017 | $3.0K | $850.44 | 3.56x | $2.2K | $989.1K | 1.4K | 1.3K |
| 2018 | $3.0K | $881.77 | 3.43x | $2.1K | $917.6K | 1.3K | 1.2K |
| 2019 | $3.0K | $940.75 | 3.21x | $2.1K | $870.3K | 1.3K | 1.2K |
| 2020 | $3.1K | $999.55 | 3.11x | $2.1K | $793.0K | 1.1K | 1.0K |
| 2021 | $3.2K | $1.1K | 3.00x | $2.1K | $758.7K | 1.0K | 961 |
| 2022 | $2.9K | $874.22 | 3.26x | $2.0K | $628.0K | 952 | 879 |
| 2023 | $3.3K | $1.1K | 2.99x | $2.2K | $715.1K | 908 | 825 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 1.0K | $1.4M | $1.4K | 3.81x |
| 50590 | Shock wave crushing of kidney stones | 1.1K | $1.3M | $1.1K | 8.31x |
| 55700 | Biopsy of prostate gland | 1.6K | $939.1K | $576.51 | 2.59x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 148 | $740.2K | $5.0K | 2.00x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 534 | $655.9K | $1.2K | 4.49x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 725 | $531.0K | $732.45 | 3.23x |
| 74420 | Imaging of urinary tract | 2.2K | $326.0K | $147.23 | 1.70x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 210 | $303.2K | $1.4K | 2.34x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 355 | $221.0K | $622.51 | 3.80x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 195 | $183.7K | $942.18 | 2.51x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 147 | $134.4K | $914.25 | 2.80x |
| 52276 | Incision of the bladder canal (urethra) using an endoscope | 227 | $132.7K | $584.76 | 4.37x |
| 52344 | Treatment of stricture in urinary duct (ureter) using an endoscope | 154 | $120.3K | $781.14 | 3.27x |
| 52204 | Biopsy of the bladder using an endoscope | 203 | $119.7K | $589.62 | 3.53x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 86 | $119.1K | $1.4K | 1.85x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 123 | $100.7K | $819.04 | 2.47x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 72 | $95.9K | $1.3K | 4.38x |
| 76872 | Ultrasound of rectum | 1.6K | $70.0K | $44.49 | 6.18x |
| 52001 | Irrigation and removal of multiple blood clots from bladder and bladder canal (urethra) using an endoscope | 100 | $68.8K | $687.53 | 2.82x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 58 | $46.7K | $805.90 | 4.20x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data