This provider's $6.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 24.66x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 101% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $10.7K | $822.99 | 12.94x | $9.8K | $665.4K | 1.6K | 1.5K |
| 2018 | $13.7K | $1.5K | 9.11x | $12.2K | $1.3M | 2.7K | 2.4K |
| 2019 | $12.3K | $884.89 | 13.87x | $11.4K | $794.4K | 2.4K | 2.2K |
| 2020 | $9.8K | $639.26 | 15.34x | $9.2K | $589.0K | 1.9K | 1.8K |
| 2021 | $11.8K | $715.26 | 16.44x | $11.0K | $728.3K | 2.2K | 2.1K |
| 2022 | $16.2K | $1.8K | 8.78x | $14.4K | $911.2K | 2.3K | 2.1K |
| 2023 | $19.0K | $2.2K | 8.84x | $16.9K | $960.3K | 1.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 7.3K | $1.6M | $220.48 | 48.94x |
| 55700 | Biopsy of prostate gland | 2.4K | $1.5M | $620.17 | 17.48x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 43 | $601.0K | $14.0K | 3.73x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 199 | $299.4K | $1.5K | 13.01x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 439 | $274.4K | $625.10 | 17.54x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 65 | $232.3K | $3.6K | 10.26x |
| 50590 | Shock wave crushing of kidney stones | 168 | $217.5K | $1.3K | 12.58x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 130 | $199.6K | $1.5K | 13.26x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 199 | $167.0K | $839.08 | 15.17x |
| 52204 | Biopsy of the bladder using an endoscope | 256 | $155.5K | $607.45 | 17.51x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 39 | $154.2K | $4.0K | 7.94x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 236 | $144.5K | $612.35 | 12.96x |
| 76872 | Ultrasound of rectum | 2.6K | $118.5K | $44.87 | 96.34x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 113 | $110.5K | $978.24 | 9.95x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 147 | $90.5K | $615.81 | 16.93x |
| 55040 | Removal of fluid accumulation in one testicle and sperm reservoir | 22 | $23.9K | $1.1K | 12.09x |
| 52276 | Incision of the bladder canal (urethra) using an endoscope | 34 | $20.3K | $596.05 | 16.96x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 26 | $19.7K | $758.69 | 16.81x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 14 | $12.0K | $857.40 | 11.63x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 12 | $10.7K | $894.67 | 6.72x |
This provider submits charges 24.66 times higher than what Medicare actually pays.
A markup ratio of 24.66x means for every $100 Medicare pays, this provider initially charges $2466. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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