This provider's $10.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.28x is significantly above the specialty median of 6.1x.
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 | $1.5K | $268.47 | 5.43x | $1.2K | $981.9K | 3.6K | 3.5K |
| 2015 | $1.6K | $312.89 | 5.04x | $1.3K | $1.1M | 3.7K | 3.5K |
| 2016 | $1.7K | $325.83 | 5.08x | $1.3K | $1.2M | 3.9K | 3.8K |
| 2017 | $1.7K | $317.15 | 5.46x | $1.4K | $1.0M | 3.5K | 3.4K |
| 2018 | $1.8K | $303.29 | 5.87x | $1.5K | $1.1M | 3.8K | 3.7K |
| 2019 | $1.9K | $309.70 | 6.03x | $1.6K | $1.2M | 3.7K | 3.7K |
| 2020 | $2.1K | $344.22 | 5.96x | $1.7K | $878.5K | 2.8K | 2.7K |
| 2021 | $2.2K | $354.81 | 6.08x | $1.8K | $1.0M | 3.2K | 3.1K |
| 2022 | $2.3K | $357.05 | 6.35x | $1.9K | $921.4K | 2.7K | 2.7K |
| 2023 | $2.3K | $382.12 | 5.93x | $1.9K | $999.8K | 2.8K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 7.9K | $3.0M | $377.75 | 5.15x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 9.8K | $2.4M | $244.92 | 7.97x |
| 45380 | Biopsy of large bowel using an endoscope | 8.0K | $2.2M | $278.23 | 6.99x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.2K | $829.9K | $370.67 | 5.39x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 1.2K | $612.7K | $502.17 | 3.83x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.4K | $399.5K | $285.33 | 6.76x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.3K | $378.4K | $280.93 | 6.94x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 724 | $268.3K | $370.63 | 5.14x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 330 | $96.4K | $292.02 | 4.52x |
| 43249 | Balloon dilation of esophagus using an endoscope | 193 | $93.6K | $484.86 | 4.20x |
| 45381 | Injections of large bowel using an endoscope | 292 | $63.5K | $217.50 | 8.64x |
| 45331 | Biopsy of large bowel using an endoscope | 94 | $21.3K | $226.50 | 5.38x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 42 | $3.8K | $89.76 | 13.92x |
This provider submits charges 6.28 times higher than what Medicare actually pays.
A markup ratio of 6.28x means for every $100 Medicare pays, this provider initially charges $628. 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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