This provider's $12.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 86% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2016
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 | $2.3K | $435.14 | 5.23x | $1.8K | $855.3K | 2.1K | 2.0K |
| 2015 | $2.3K | $455.99 | 4.95x | $1.8K | $911.9K | 2.1K | 1.9K |
| 2016 | $3.3K | $835.52 | 3.91x | $2.4K | $1.5M | 2.5K | 2.3K |
| 2017 | $3.2K | $796.65 | 3.96x | $2.4K | $1.6M | 2.1K | 1.9K |
| 2018 | $3.5K | $848.47 | 4.11x | $2.6K | $1.6M | 2.4K | 2.1K |
| 2019 | $3.7K | $930.50 | 3.95x | $2.7K | $1.6M | 2.2K | 2.1K |
| 2020 | $3.0K | $674.85 | 4.47x | $2.3K | $914.5K | 1.5K | 1.4K |
| 2021 | $2.8K | $588.99 | 4.80x | $2.2K | $810.0K | 1.5K | 1.5K |
| 2022 | $3.2K | $756.26 | 4.28x | $2.5K | $1.2M | 1.7K | 1.6K |
| 2023 | $4.5K | $1.2K | 3.92x | $3.4K | $1.6M | 1.9K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 374 | $1.9M | $5.2K | 2.03x |
| 50590 | Shock wave crushing of kidney stones | 1.3K | $1.6M | $1.3K | 5.87x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 718 | $1.0M | $1.4K | 3.09x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 73 | $988.0K | $13.5K | 2.81x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 395 | $609.3K | $1.5K | 4.91x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.5K | $565.6K | $385.03 | 6.48x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.8K | $561.4K | $310.83 | 7.69x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 819 | $336.4K | $410.74 | 6.44x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 184 | $300.5K | $1.6K | 4.82x |
| 45380 | Biopsy of large bowel using an endoscope | 921 | $269.3K | $292.43 | 8.44x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 323 | $267.9K | $829.26 | 2.96x |
| 52204 | Biopsy of the bladder using an endoscope | 332 | $224.3K | $675.47 | 3.75x |
| 77778 | Application of radiation source, complex | 713 | $205.8K | $288.58 | 1.89x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 233 | $204.1K | $876.13 | 9.62x |
| 55700 | Biopsy of prostate gland | 317 | $192.6K | $607.55 | 4.02x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 474 | $192.4K | $405.86 | 6.43x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 214 | $183.4K | $857.23 | 3.16x |
| 28285 | Correction of toe joint deformity | 215 | $163.6K | $760.96 | 3.78x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 177 | $152.3K | $860.61 | 3.10x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 165 | $147.1K | $891.67 | 3.26x |
This provider submits charges 4.76 times higher than what Medicare actually pays.
A markup ratio of 4.76x means for every $100 Medicare pays, this provider initially charges $476. 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