This provider's $9.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 2016% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 986% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $1.1K | $256.55 | 4.12x | $801.16 | $79.1K | 301 | 298 |
| 2016 | $998.65 | $289.44 | 3.45x | $709.21 | $859.0K | 3.1K | 3.0K |
| 2017 | $1.1K | $293.59 | 3.64x | $775.88 | $895.8K | 3.3K | 3.2K |
| 2018 | $1.0K | $292.73 | 3.57x | $751.15 | $986.9K | 3.6K | 3.5K |
| 2019 | $1.1K | $300.45 | 3.69x | $809.11 | $1.1M | 3.8K | 3.7K |
| 2020 | $1.2K | $358.88 | 3.25x | $807.90 | $833.4K | 2.6K | 2.5K |
| 2021 | $1.1K | $346.46 | 3.23x | $773.12 | $1.5M | 4.4K | 4.2K |
| 2022 | $1.2K | $365.68 | 3.19x | $799.27 | $1.6M | 4.9K | 4.8K |
| 2023 | $1.9K | $625.86 | 3.08x | $1.3K | $1.7M | 4.8K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 6.8K | $1.9M | $278.06 | 4.31x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 5.1K | $1.9M | $362.32 | 3.30x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 8.2K | $1.8M | $221.83 | 5.30x |
| 45390 | Removal of large bowel tissue using an endoscope | 1.3K | $1.0M | $795.99 | 1.48x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.9K | $499.6K | $262.95 | 4.60x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 987 | $340.9K | $345.38 | 3.12x |
| 45381 | Injections of large bowel using an endoscope | 1.6K | $335.0K | $203.30 | 5.80x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.1K | $333.7K | $301.15 | 3.38x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 600 | $290.3K | $483.88 | 3.01x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 817 | $270.0K | $330.53 | 2.70x |
| 43249 | Balloon dilation of esophagus using an endoscope | 505 | $248.5K | $492.03 | 2.68x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 690 | $188.2K | $272.82 | 3.74x |
| 45382 | Control of bleeding in large bowel using an endoscope | 477 | $106.2K | $222.73 | 5.55x |
| 43226 | Insertion of guide wire for dilation of esophagus using an endoscope | 161 | $78.5K | $487.67 | 2.98x |
| 33285 | Insertion of heart rhythm monitor under skin | 12 | $67.5K | $5.6K | 3.15x |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope | 119 | $60.7K | $510.21 | 2.85x |
| 44361 | Biopsy of small bowel using an endoscope | 62 | $30.1K | $485.16 | 3.09x |
| 45331 | Biopsy of large bowel using an endoscope | 75 | $17.4K | $231.84 | 2.91x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 39 | $13.0K | $332.44 | 2.69x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 97 | $8.7K | $89.91 | 2.81x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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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