This provider's $9.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 267% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2017
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 | $1.8K | $590.83 | 2.99x | $1.2K | $364.8K | 861 | 787 |
| 2015 | $2.7K | $665.12 | 4.08x | $2.1K | $507.9K | 1.1K | 951 |
| 2016 | $3.3K | $827.70 | 4.04x | $2.5K | $613.9K | 1.1K | 1.0K |
| 2017 | $3.1K | $891.83 | 3.43x | $2.2K | $1.0M | 1.2K | 1.1K |
| 2018 | $3.4K | $912.60 | 3.72x | $2.5K | $1.2M | 1.3K | 1.2K |
| 2019 | $3.5K | $879.48 | 4.01x | $2.6K | $1.4M | 1.5K | 1.4K |
| 2020 | $4.0K | $1.1K | 3.78x | $2.9K | $1.1M | 1.2K | 1.1K |
| 2021 | $4.0K | $1.1K | 3.74x | $2.9K | $1.1M | 1.2K | 1.1K |
| 2022 | $4.3K | $1.1K | 3.99x | $3.3K | $1.2M | 1.5K | 1.4K |
| 2023 | $6.7K | $1.5K | 4.57x | $5.2K | $1.3M | 1.7K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 804 | $4.1M | $5.1K | 3.10x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.5K | $1.2M | $217.88 | 5.58x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 731 | $1.1M | $1.4K | 3.97x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 535 | $777.8K | $1.5K | 5.31x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 581 | $349.8K | $602.07 | 4.05x |
| 55700 | Biopsy of prostate gland | 536 | $314.5K | $586.72 | 3.53x |
| 50590 | Shock wave crushing of kidney stones | 249 | $307.3K | $1.2K | 3.68x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 318 | $294.6K | $926.41 | 3.84x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 171 | $164.4K | $961.33 | 3.63x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 106 | $162.9K | $1.5K | 3.38x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 91 | $139.9K | $1.5K | 3.24x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 223 | $136.5K | $612.03 | 4.76x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 182 | $133.2K | $731.78 | 5.37x |
| 52204 | Biopsy of the bladder using an endoscope | 184 | $103.5K | $562.69 | 4.22x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 117 | $101.0K | $863.36 | 4.58x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 120 | $83.1K | $692.74 | 4.20x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 20 | $73.6K | $3.7K | 3.41x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 46 | $70.3K | $1.5K | 3.72x |
| C9769 | Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts | 12 | $66.6K | $5.6K | 5.22x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 105 | $65.2K | $620.56 | 3.65x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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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