This provider's $8.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 89% 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 | $1.1K | $248.23 | 4.63x | $900.26 | $556.3K | 2.0K | 2.0K |
| 2015 | $1.2K | $285.21 | 4.15x | $899.79 | $651.8K | 2.2K | 2.2K |
| 2016 | $1.2K | $305.79 | 3.88x | $879.21 | $712.3K | 2.4K | 2.4K |
| 2017 | $1.2K | $280.38 | 4.23x | $904.62 | $764.2K | 2.6K | 2.6K |
| 2018 | $1.2K | $298.26 | 3.97x | $886.74 | $911.6K | 3.0K | 3.0K |
| 2019 | $1.2K | $309.25 | 3.83x | $875.75 | $1.1M | 3.4K | 3.4K |
| 2020 | $1.2K | $319.21 | 3.71x | $865.79 | $732.4K | 2.3K | 2.3K |
| 2021 | $1.2K | $329.09 | 3.60x | $855.91 | $992.5K | 3.0K | 3.0K |
| 2022 | $1.2K | $351.33 | 3.37x | $833.67 | $933.9K | 2.8K | 2.8K |
| 2023 | $1.2K | $324.27 | 3.65x | $859.83 | $1.1M | 3.2K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 6.6K | $2.5M | $374.34 | 3.16x |
| 45380 | Biopsy of large bowel using an endoscope | 4.5K | $1.5M | $326.92 | 3.62x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 6.1K | $1.4M | $239.10 | 4.95x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.4K | $833.3K | $344.89 | 3.42x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 2.4K | $652.2K | $275.55 | 4.29x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.7K | $587.8K | $351.35 | 3.36x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.5K | $394.7K | $268.30 | 4.40x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.3K | $327.1K | $253.73 | 4.65x |
| 45381 | Injections of large bowel using an endoscope | 365 | $81.4K | $223.10 | 5.30x |
| 43249 | Balloon dilation of esophagus using an endoscope | 124 | $63.5K | $512.08 | 2.31x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 24 | $13.4K | $559.80 | 2.12x |
| 45382 | Control of bleeding in large bowel using an endoscope | 47 | $11.5K | $244.60 | 4.81x |
| 43450 | Dilation of esophagus unguided | 14 | $4.0K | $285.22 | 4.15x |
| 45330 | Diagnostic exam of lower portion of large bowel using a flexible endoscope | 31 | $2.8K | $90.69 | 13.07x |
| 43760 | Change of stomach feeding, accessed through the skin | 14 | $1.1K | $79.09 | 14.54x |
This provider submits charges 3.82 times higher than what Medicare actually pays.
A markup ratio of 3.82x means for every $100 Medicare pays, this provider initially charges $382. 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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