This provider's $17.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $4.0K | $1.0K | 3.87x | $3.0K | $1.7M | 2.4K | 2.1K |
| 2015 | $4.1K | $981.43 | 4.18x | $3.1K | $1.6M | 2.5K | 2.1K |
| 2016 | $3.9K | $943.55 | 4.10x | $2.9K | $1.5M | 2.5K | 2.2K |
| 2017 | $3.7K | $997.05 | 3.72x | $2.7K | $1.8M | 2.8K | 2.5K |
| 2018 | $3.6K | $1.1K | 3.44x | $2.6K | $1.8M | 2.8K | 2.4K |
| 2019 | $3.9K | $1.2K | 3.22x | $2.7K | $1.8M | 2.6K | 2.3K |
| 2020 | $3.8K | $1.1K | 3.29x | $2.6K | $1.3M | 1.9K | 1.7K |
| 2021 | $3.9K | $1.2K | 3.33x | $2.8K | $1.6M | 2.2K | 2.0K |
| 2022 | $4.7K | $1.3K | 3.72x | $3.4K | $1.8M | 2.1K | 1.9K |
| 2023 | $5.2K | $1.4K | 3.66x | $3.8K | $2.2M | 2.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 258 | $3.2M | $12.3K | 1.42x |
| 66984 | Removal of cataract with insertion of lens | 2.5K | $1.8M | $734.10 | 6.43x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 8.3K | $1.7M | $209.21 | 10.55x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 346 | $1.5M | $4.4K | 1.69x |
| 55700 | Biopsy of prostate gland | 1.5K | $848.5K | $570.20 | 4.25x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 152 | $543.0K | $3.6K | 2.53x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 577 | $459.7K | $796.73 | 5.74x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 331 | $459.1K | $1.4K | 4.98x |
| 64721 | Release and/or relocation of median nerve of hand | 641 | $334.2K | $521.30 | 5.53x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 171 | $306.0K | $1.8K | 2.87x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 515 | $292.6K | $568.19 | 4.24x |
| 27447 | Replacement of knee joint, both sides of knee | 44 | $291.6K | $6.6K | 5.60x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 521 | $287.5K | $551.82 | 4.46x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 311 | $286.0K | $919.74 | 2.70x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 77 | $270.8K | $3.5K | 1.89x |
| 66982 | Removal of cataract with insertion of lens | 359 | $265.7K | $740.05 | 6.41x |
| 26055 | Incision of tendon covering | 627 | $259.1K | $413.25 | 6.19x |
| 23430 | Anchoring of biceps tendon | 149 | $238.4K | $1.6K | 2.52x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 228 | $210.0K | $921.14 | 2.98x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 314 | $199.4K | $634.87 | 3.89x |
This provider submits charges 4.61 times higher than what Medicare actually pays.
A markup ratio of 4.61x means for every $100 Medicare pays, this provider initially charges $461. 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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