This provider's $7.8M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.77x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 686% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 337% 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 | $4.4K | $494.21 | 8.93x | $3.9K | $167.8K | 477 | 468 |
| 2016 | $6.2K | $746.78 | 8.34x | $5.5K | $733.0K | 1.7K | 1.5K |
| 2017 | $7.1K | $793.43 | 9.00x | $6.3K | $899.3K | 1.8K | 1.6K |
| 2018 | $7.1K | $786.17 | 9.04x | $6.3K | $825.2K | 1.9K | 1.7K |
| 2019 | $7.1K | $861.46 | 8.30x | $6.3K | $914.9K | 2.0K | 1.8K |
| 2020 | $8.4K | $999.73 | 8.41x | $7.4K | $804.3K | 1.7K | 1.6K |
| 2021 | $11.7K | $1.6K | 7.47x | $10.2K | $1.2M | 1.9K | 1.7K |
| 2022 | $10.5K | $1.5K | 7.15x | $9.0K | $987.0K | 1.8K | 1.7K |
| 2023 | $11.8K | $1.7K | 6.83x | $10.1K | $1.3M | 2.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 7.1K | $1.4M | $199.91 | 12.32x |
| 55700 | Biopsy of prostate gland | 2.2K | $1.2M | $565.72 | 7.89x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 680 | $893.9K | $1.3K | 9.44x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 63 | $831.7K | $13.2K | 5.38x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 165 | $756.1K | $4.6K | 6.87x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 856 | $481.0K | $561.96 | 5.85x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 99 | $332.2K | $3.4K | 8.68x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 459 | $324.0K | $705.94 | 10.94x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 444 | $245.9K | $553.77 | 8.84x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 218 | $196.8K | $902.82 | 9.41x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 148 | $132.0K | $891.81 | 9.28x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 231 | $130.2K | $563.81 | 5.45x |
| 74420 | Imaging of urinary tract | 887 | $129.3K | $145.74 | 8.68x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 125 | $128.7K | $1.0K | 8.02x |
| 50590 | Shock wave crushing of kidney stones | 84 | $101.7K | $1.2K | 10.19x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 117 | $94.7K | $809.07 | 9.98x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 64 | $88.7K | $1.4K | 7.25x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 26 | $87.8K | $3.4K | 8.59x |
| 52204 | Biopsy of the bladder using an endoscope | 162 | $81.9K | $505.55 | 15.77x |
| 55706 | Needle stereotactic and image-guided biopsy of prostate gland | 30 | $29.7K | $988.79 | 5.79x |
This provider submits charges 8.77 times higher than what Medicare actually pays.
A markup ratio of 8.77x means for every $100 Medicare pays, this provider initially charges $877. 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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