This provider's $14.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $3.1K | $1.1K | 2.80x | $2.0K | $1.4M | 2.0K | 1.8K |
| 2015 | $3.5K | $960.87 | 3.66x | $2.6K | $1.4M | 2.2K | 1.9K |
| 2016 | $4.1K | $1.1K | 3.87x | $3.1K | $1.4M | 2.1K | 1.9K |
| 2017 | $4.0K | $1.2K | 3.37x | $2.8K | $1.7M | 2.2K | 2.0K |
| 2018 | $3.8K | $1.1K | 3.30x | $2.6K | $1.6M | 2.3K | 2.1K |
| 2019 | $4.6K | $1.3K | 3.53x | $3.3K | $1.6M | 2.1K | 2.0K |
| 2020 | $5.0K | $1.4K | 3.56x | $3.6K | $1.3M | 1.5K | 1.4K |
| 2021 | $5.0K | $1.4K | 3.64x | $3.6K | $1.5M | 1.7K | 1.6K |
| 2022 | $4.8K | $1.4K | 3.54x | $3.5K | $1.6M | 1.6K | 1.5K |
| 2023 | $3.3K | $977.91 | 3.33x | $2.3K | $1.1M | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 152 | $1.8M | $12.0K | 3.70x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 1.3K | $1.7M | $1.3K | 2.53x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 311 | $1.5M | $4.7K | 2.46x |
| 55700 | Biopsy of prostate gland | 2.4K | $1.3M | $554.14 | 4.67x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 805 | $1.1M | $1.3K | 1.92x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 962 | $799.1K | $830.71 | 3.00x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 1.1K | $790.0K | $694.79 | 3.57x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 656 | $768.7K | $1.2K | 2.18x |
| 74420 | Imaging of urinary tract | 2.6K | $367.7K | $141.42 | 2.12x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 106 | $360.0K | $3.4K | 5.01x |
| 52204 | Biopsy of the bladder using an endoscope | 702 | $323.0K | $460.17 | 5.41x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 391 | $311.4K | $796.54 | 3.05x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 475 | $288.9K | $608.19 | 3.87x |
| 52630 | Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope | 200 | $263.2K | $1.3K | 1.84x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 275 | $261.8K | $952.05 | 2.66x |
| 52260 | Dilation of the bladder using an endoscope under general or spinal anesthesia | 517 | $256.2K | $495.48 | 5.06x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 278 | $245.8K | $884.32 | 2.84x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 386 | $216.8K | $561.68 | 4.08x |
| 52007 | Insertion of catheter into urinary duct (ureter) and biopsy of urinary duct and/or renal pelvis using an endoscope | 244 | $196.3K | $804.58 | 3.21x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 338 | $187.3K | $554.11 | 4.32x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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