This provider's $7.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 104% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2023
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 | $2.5K | $680.54 | 3.67x | $1.8K | $530.7K | 1.1K | 902 |
| 2015 | $1.7K | $367.72 | 4.55x | $1.3K | $509.4K | 1.1K | 993 |
| 2016 | $2.0K | $639.69 | 3.14x | $1.4K | $709.0K | 1.3K | 1.1K |
| 2017 | $2.2K | $728.99 | 3.08x | $1.5K | $629.5K | 1.2K | 1.0K |
| 2018 | $3.5K | $1.4K | 2.55x | $2.2K | $903.8K | 1.2K | 1.0K |
| 2019 | $2.4K | $851.86 | 2.79x | $1.5K | $1.0M | 1.4K | 1.2K |
| 2020 | $2.3K | $747.17 | 3.02x | $1.5K | $745.7K | 1.1K | 911 |
| 2021 | $3.3K | $1.2K | 2.83x | $2.1K | $831.1K | 929 | 780 |
| 2022 | $2.7K | $1.1K | 2.57x | $1.7K | $685.9K | 906 | 781 |
| 2023 | $3.6K | $1.7K | 2.15x | $1.9K | $1.1M | 1.2K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 395 | $2.1M | $5.3K | 1.80x |
| 50590 | Shock wave crushing of kidney stones | 1.1K | $1.4M | $1.2K | 12.53x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.1K | $1.1M | $213.52 | 2.48x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 637 | $483.8K | $759.55 | 2.37x |
| 55700 | Biopsy of prostate gland | 808 | $477.3K | $590.75 | 1.78x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 23 | $313.3K | $13.6K | 2.11x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 82 | $277.6K | $3.4K | 1.36x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 200 | $264.4K | $1.3K | 2.23x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 151 | $169.4K | $1.1K | 2.01x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 240 | $144.0K | $599.85 | 2.05x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 225 | $129.2K | $574.29 | 2.00x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 80 | $126.0K | $1.6K | 2.03x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 79 | $121.9K | $1.5K | 2.02x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 68 | $110.8K | $1.6K | 2.10x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 85 | $78.0K | $917.44 | 1.96x |
| 52276 | Incision of the bladder canal (urethra) using an endoscope | 100 | $61.6K | $616.00 | 2.92x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 83 | $48.3K | $582.00 | 1.98x |
| G0458 | Low dose rate (ldr) prostate brachytherapy services, composite rate | 31 | $45.1K | $1.5K | 2.70x |
| 55874 | Injection of biodegradable material next to prostate | 15 | $40.8K | $2.7K | 1.65x |
| 77778 | Application of radiation source, complex | 68 | $19.4K | $284.76 | 2.58x |
This provider submits charges 4.01 times higher than what Medicare actually pays.
A markup ratio of 4.01x means for every $100 Medicare pays, this provider initially charges $401. 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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