This provider's $11.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 231% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 93% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $1.9K | $536.60 | 3.56x | $1.4K | $748.8K | 2.5K | 2.3K |
| 2019 | $3.5K | $919.51 | 3.80x | $2.6K | $1.4M | 3.2K | 3.0K |
| 2020 | $5.8K | $1.7K | 3.51x | $4.2K | $2.4M | 3.1K | 2.8K |
| 2021 | $5.6K | $1.6K | 3.43x | $4.0K | $2.4M | 3.0K | 2.7K |
| 2022 | $5.9K | $1.7K | 3.53x | $4.2K | $2.4M | 3.1K | 2.9K |
| 2023 | $7.2K | $1.9K | 3.87x | $5.3K | $2.5M | 3.2K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 581 | $3.2M | $5.5K | 3.62x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 10.1K | $2.3M | $222.72 | 5.77x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 88 | $1.3M | $14.7K | 3.11x |
| 55700 | Biopsy of prostate gland | 1.6K | $999.4K | $629.77 | 3.81x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 373 | $605.4K | $1.6K | 4.61x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 353 | $585.4K | $1.7K | 3.23x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 781 | $492.5K | $630.59 | 4.14x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 84 | $321.3K | $3.8K | 3.24x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 174 | $292.3K | $1.7K | 3.85x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 382 | $243.7K | $637.85 | 5.11x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 44 | $171.7K | $3.9K | 3.32x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 150 | $156.3K | $1.0K | 3.55x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 145 | $151.9K | $1.0K | 3.53x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 164 | $147.8K | $901.31 | 3.96x |
| 52204 | Biopsy of the bladder using an endoscope | 241 | $144.5K | $599.43 | 4.04x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 160 | $128.8K | $805.18 | 5.23x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 91 | $98.5K | $1.1K | 3.70x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 146 | $92.2K | $631.82 | 3.56x |
| 50590 | Shock wave crushing of kidney stones | 68 | $86.8K | $1.3K | 3.62x |
| 76872 | Ultrasound of rectum | 1.5K | $68.0K | $45.37 | 6.45x |
This provider submits charges 4.11 times higher than what Medicare actually pays.
A markup ratio of 4.11x means for every $100 Medicare pays, this provider initially charges $411. 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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