This provider's $22.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 118% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 91% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $979.51 | $300.36 | 3.26x | $679.15 | $1.4M | 4.8K | 17 |
| 2015 | $1.0K | $316.06 | 3.21x | $698.67 | $1.5M | 4.6K | 16 |
| 2016 | $1.0K | $320.49 | 3.27x | $726.00 | $1.6M | 4.9K | 15 |
| 2017 | $1.1K | $321.36 | 3.38x | $764.16 | $1.5M | 4.7K | 18 |
| 2018 | $1.1K | $332.08 | 3.36x | $785.19 | $1.6M | 4.8K | 17 |
| 2019 | $1.2K | $343.13 | 3.40x | $822.62 | $3.1M | 8.9K | 19 |
| 2020 | $1.2K | $353.47 | 3.37x | $837.42 | $2.7M | 7.5K | 18 |
| 2021 | $1.2K | $366.52 | 3.37x | $868.17 | $3.1M | 8.4K | 18 |
| 2022 | $1.3K | $375.24 | 3.37x | $890.67 | $2.9M | 7.7K | 18 |
| 2023 | $1.3K | $401.16 | 3.35x | $944.27 | $3.1M | 7.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19.3K | $8.1M | $419.42 | 3.02x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 14.4K | $4.6M | $318.93 | 3.93x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 12.9K | $3.5M | $274.27 | 3.72x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 3.9K | $1.6M | $398.14 | 2.48x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 2.6K | $1.0M | $393.76 | 2.48x |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.9K | $865.9K | $301.82 | 3.35x |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 2.0K | $593.9K | $301.01 | 3.38x |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 1.7K | $530.3K | $314.37 | 3.46x |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 608 | $327.1K | $538.07 | 3.47x |
| 43229 | Destruction of polyp or growth of esophagus using a flexible endoscope | 234 | $272.3K | $1.2K | 2.91x |
| 45381 | Injection beneath lining of large bowel using a flexible endoscope | 1.2K | $263.3K | $216.75 | 5.55x |
| 45331 | Biopsy of lower large bowel using a flexible endoscope | 615 | $165.8K | $269.63 | 3.25x |
| 43450 | Dilation of esophagus | 441 | $136.5K | $309.59 | 3.29x |
| 43244 | Tying of dilated veins of stomach and/or esophagus using a flexible endoscope | 237 | $124.8K | $526.46 | 3.43x |
| 43270 | Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 172 | $93.7K | $544.72 | 3.53x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 120 | $67.6K | $563.61 | 3.62x |
| 45330 | Diagnostic exam of lower portion of large bowel using a flexible endoscope | 460 | $45.6K | $99.09 | 8.84x |
| 91035 | Monitoring and recording of esophageal function through a capsule attached to the esophagus wall | 198 | $38.7K | $195.59 | 3.03x |
| 43245 | Dilation of stomach outlet using an endoscope | 61 | $31.0K | $507.48 | 3.56x |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy | 70 | $8.4K | $119.96 | 5.95x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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