This provider's $15.5M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 74% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $6.2K | $1.6K | 3.95x | $4.6K | $1.1M | 740 | 720 |
| 2015 | $7.0K | $2.1K | 3.42x | $5.0K | $1.2M | 743 | 725 |
| 2016 | $7.2K | $1.7K | 4.35x | $5.6K | $1.4M | 997 | 967 |
| 2017 | $8.2K | $2.0K | 4.17x | $6.2K | $1.3M | 889 | 842 |
| 2018 | $8.2K | $1.8K | 4.43x | $6.3K | $1.5M | 999 | 969 |
| 2019 | $8.7K | $1.7K | 5.21x | $7.1K | $1.6M | 1.2K | 1.2K |
| 2020 | $8.5K | $1.4K | 5.91x | $7.0K | $1.6M | 1.1K | 1.0K |
| 2021 | $11.7K | $2.5K | 4.73x | $9.2K | $1.9M | 1.1K | 1.0K |
| 2022 | $12.0K | $2.5K | 4.84x | $9.5K | $1.9M | 887 | 843 |
| 2023 | $12.7K | $2.0K | 6.33x | $10.7K | $1.9M | 1.0K | 967 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 317 | $4.1M | $12.9K | 2.11x |
| 69930 | Implantation of cochlear device | 113 | $2.6M | $23.0K | 2.24x |
| 54405 | Insertion of multi-component inflatable penile prosthesis | 149 | $1.6M | $10.6K | 1.62x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 646 | $907.3K | $1.4K | 6.80x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 234 | $860.0K | $3.7K | 3.61x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 488 | $690.9K | $1.4K | 6.30x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 124 | $460.3K | $3.7K | 2.24x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 318 | $317.9K | $999.71 | 5.38x |
| 52649 | Laser fragmentation of prostate tissue with control of bleeding using an endoscope | 213 | $312.1K | $1.5K | 10.19x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 426 | $297.0K | $697.26 | 10.43x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 165 | $261.7K | $1.6K | 12.77x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 610 | $235.5K | $386.04 | 15.24x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 209 | $198.4K | $949.27 | 7.20x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 126 | $180.2K | $1.4K | 5.34x |
| 50590 | Shock wave crushing of kidney stones | 137 | $174.1K | $1.3K | 18.58x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 30 | $162.9K | $5.4K | 3.85x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 170 | $162.8K | $957.92 | 7.92x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 634 | $145.6K | $229.65 | 22.39x |
| 45380 | Biopsy of large bowel using an endoscope | 477 | $144.6K | $303.18 | 17.52x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 106 | $144.5K | $1.4K | 6.75x |
This provider submits charges 5.18 times higher than what Medicare actually pays.
A markup ratio of 5.18x means for every $100 Medicare pays, this provider initially charges $518. 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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