This provider's $12.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 102% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 79% 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 | $1.9K | $752.98 | 2.56x | $1.2K | $806.5K | 2.1K | 2.0K |
| 2015 | $2.0K | $870.62 | 2.27x | $1.1K | $898.7K | 2.3K | 2.1K |
| 2016 | $2.2K | $833.51 | 2.69x | $1.4K | $1.2M | 2.9K | 2.6K |
| 2017 | $2.9K | $1.2K | 2.51x | $1.7K | $1.2M | 2.9K | 2.6K |
| 2018 | $3.2K | $1.3K | 2.43x | $1.9K | $1.4M | 3.0K | 2.6K |
| 2019 | $2.5K | $1.0K | 2.45x | $1.5K | $1.3M | 2.6K | 2.3K |
| 2020 | $2.2K | $930.98 | 2.38x | $1.3K | $1.0M | 2.2K | 2.0K |
| 2021 | $9.3K | $1.9K | 4.83x | $7.4K | $1.8M | 2.6K | 2.4K |
| 2022 | $2.8K | $1.2K | 2.38x | $1.6K | $1.4M | 2.3K | 2.1K |
| 2023 | $4.3K | $1.9K | 2.20x | $2.3K | $1.6M | 2.2K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 14.7K | $3.2M | $215.68 | 3.08x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 407 | $2.1M | $5.2K | 1.93x |
| 55700 | Biopsy of prostate gland | 3.3K | $1.9M | $593.84 | 2.56x |
| 50590 | Shock wave crushing of kidney stones | 981 | $1.1M | $1.2K | 2.74x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 1.6K | $926.0K | $584.24 | 2.76x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 1.1K | $650.9K | $602.12 | 2.69x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 41 | $594.3K | $14.5K | 2.17x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 145 | $498.2K | $3.4K | 2.22x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 249 | $373.4K | $1.5K | 2.24x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 179 | $278.4K | $1.6K | 2.17x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 434 | $251.9K | $580.48 | 2.67x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 156 | $106.0K | $679.58 | 3.59x |
| 52204 | Biopsy of the bladder using an endoscope | 140 | $85.3K | $609.29 | 2.85x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 44 | $72.6K | $1.7K | 2.08x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 19 | $71.9K | $3.8K | 2.22x |
| 55866 | Surgical removal of prostate and surrounding lymph nodes using an endoscope | 15 | $44.5K | $3.0K | 23.61x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 37 | $39.4K | $1.1K | 2.32x |
| 52315 | Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 64 | $38.7K | $603.97 | 2.78x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 43 | $28.5K | $662.23 | 2.82x |
| 74420 | Imaging of urinary tract | 175 | $25.6K | $146.29 | 2.73x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cei Physicians Psc Llc | Blue Ash, OH | $43.6M | ✓ Clear |
| The Urology Center Llc | Cincinnati, OH | $37.6M | ✓ Clear |
| Eye Center Of Columbus, Llc | Columbus, OH | $35.0M | ✓ 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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