This provider's $8.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 124% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2021
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 | $828.48 | $240.04 | 3.45x | $588.44 | $550.3K | 2.1K | 2.0K |
| 2015 | $827.73 | $252.55 | 3.28x | $575.18 | $633.4K | 2.2K | 2.2K |
| 2016 | $972.74 | $265.08 | 3.67x | $707.66 | $672.6K | 2.4K | 2.4K |
| 2017 | $970.83 | $245.36 | 3.96x | $725.47 | $796.2K | 2.8K | 2.8K |
| 2018 | $984.57 | $259.61 | 3.79x | $724.96 | $839.3K | 3.0K | 2.9K |
| 2019 | $1.0K | $270.94 | 3.71x | $733.40 | $931.1K | 3.2K | 3.2K |
| 2020 | $1.0K | $293.04 | 3.48x | $726.87 | $649.8K | 2.2K | 2.2K |
| 2021 | $1.0K | $304.18 | 3.37x | $719.67 | $1.1M | 3.5K | 3.4K |
| 2022 | $1.0K | $305.12 | 3.36x | $718.73 | $1.2M | 3.8K | 3.8K |
| 2023 | $1.1K | $329.19 | 3.29x | $752.35 | $1.2M | 3.6K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 10.9K | $3.6M | $328.90 | 3.06x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 8.0K | $1.8M | $220.20 | 4.63x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 3.5K | $1.3M | $375.44 | 2.77x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.9K | $646.0K | $333.65 | 3.10x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 981 | $319.0K | $325.16 | 3.17x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 996 | $253.2K | $254.25 | 4.05x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 864 | $211.0K | $244.20 | 4.22x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 672 | $169.2K | $251.75 | 3.07x |
| 43249 | Balloon dilation of esophagus using an endoscope | 256 | $131.2K | $512.57 | 2.06x |
| 45331 | Biopsy of large bowel using an endoscope | 296 | $72.9K | $246.36 | 3.63x |
| 45381 | Injections of large bowel using an endoscope | 308 | $67.4K | $218.83 | 4.41x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope using a mechanical snare | 49 | $25.9K | $528.03 | 2.02x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 52 | $18.2K | $350.16 | 2.93x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 150 | $13.0K | $86.74 | 11.18x |
This provider submits charges 3.41 times higher than what Medicare actually pays.
A markup ratio of 3.41x means for every $100 Medicare pays, this provider initially charges $341. 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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