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 351% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.0K | $701.06 | 1.49x | $344.00 | $332.2K | 613 | 539 |
| 2015 | $1.2K | $841.84 | 1.42x | $353.97 | $463.3K | 702 | 634 |
| 2016 | $1.3K | $910.49 | 1.42x | $386.77 | $516.4K | 801 | 716 |
| 2017 | $1.4K | $1.0K | 1.35x | $353.10 | $560.1K | 823 | 725 |
| 2018 | $2.0K | $1.4K | 1.40x | $564.25 | $600.8K | 694 | 641 |
| 2019 | $2.2K | $1.6K | 1.33x | $539.43 | $1.2M | 797 | 759 |
| 2020 | $3.7K | $2.9K | 1.27x | $778.97 | $1.8M | 745 | 678 |
| 2021 | $3.8K | $3.0K | 1.27x | $791.11 | $1.3M | 638 | 607 |
| 2022 | $5.5K | $4.3K | 1.28x | $1.2K | $1.2M | 516 | 499 |
| 2023 | $4.7K | $3.6K | 1.28x | $1.0K | $1.5M | 585 | 564 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 358 | $2.7M | $7.6K | 1.27x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 73 | $1.5M | $20.0K | 1.26x |
| 55700 | Biopsy of prostate gland | 976 | $801.8K | $821.56 | 1.33x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 826 | $741.7K | $897.89 | 1.33x |
| 50590 | Shock wave crushing of kidney stones | 428 | $708.4K | $1.7K | 1.46x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 127 | $655.5K | $5.2K | 1.27x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 210 | $394.3K | $1.9K | 1.39x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 70 | $384.9K | $5.5K | 1.26x |
| 52204 | Biopsy of the bladder using an endoscope | 305 | $274.5K | $900.08 | 1.38x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 320 | $274.2K | $856.97 | 1.30x |
| 74420 | Imaging of urinary tract | 1.2K | $255.6K | $205.83 | 1.33x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 198 | $218.0K | $1.1K | 1.50x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 101 | $199.6K | $2.0K | 1.30x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 507 | $148.9K | $293.65 | 1.42x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 160 | $123.3K | $770.53 | 1.38x |
| 55874 | Injection of biodegradable material next to prostate | 15 | $58.7K | $3.9K | 1.28x |
| 76872 | Ultrasound of rectum | 904 | $56.1K | $62.04 | 1.42x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 12 | $22.2K | $1.8K | 1.30x |
| 55876 | Placement of device in prostate for radiation therapy | 15 | $14.9K | $992.24 | 1.28x |
| 52276 | Incision of the bladder canal (urethra) using an endoscope | 11 | $7.8K | $709.66 | 1.57x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. This is lower 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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