This provider's $13.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.6x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 343% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 109% in 2017
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 | $3.8K | $624.51 | 6.11x | $3.2K | $478.7K | 773 | 734 |
| 2015 | $4.1K | $683.62 | 6.06x | $3.5K | $420.2K | 623 | 571 |
| 2016 | $4.1K | $625.71 | 6.51x | $3.4K | $460.5K | 725 | 669 |
| 2017 | $6.5K | $1.2K | 5.51x | $5.3K | $961.9K | 1.4K | 1.3K |
| 2018 | $6.4K | $1.3K | 5.03x | $5.1K | $1.5M | 2.0K | 1.9K |
| 2019 | $6.1K | $1.3K | 4.59x | $4.8K | $1.7M | 2.1K | 2.1K |
| 2020 | $6.5K | $1.5K | 4.39x | $5.0K | $1.7M | 2.0K | 1.9K |
| 2021 | $6.0K | $1.4K | 4.26x | $4.6K | $2.1M | 2.1K | 1.9K |
| 2022 | $6.0K | $1.4K | 4.11x | $4.5K | $2.2M | 2.3K | 2.1K |
| 2023 | $6.3K | $1.6K | 3.90x | $4.7K | $2.1M | 1.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 206 | $2.6M | $12.7K | 2.47x |
| 55700 | Biopsy of prostate gland | 3.2K | $1.8M | $567.04 | 7.07x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 1.0K | $1.4M | $1.4K | 9.49x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 222 | $1.1M | $5.0K | 2.38x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 313 | $1.1M | $3.4K | 3.03x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 1.1K | $777.7K | $693.77 | 7.50x |
| 50590 | Shock wave crushing of kidney stones | 667 | $719.5K | $1.1K | 9.83x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 133 | $466.4K | $3.5K | 5.30x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 445 | $413.3K | $928.79 | 4.91x |
| 52204 | Biopsy of the bladder using an endoscope | 544 | $315.2K | $579.48 | 6.58x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 334 | $314.0K | $940.09 | 5.65x |
| 52352 | Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope | 320 | $311.5K | $973.41 | 6.34x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 509 | $294.3K | $578.23 | 8.63x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 160 | $237.2K | $1.5K | 3.61x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 107 | $188.0K | $1.8K | 6.45x |
| 74420 | Imaging of urinary tract | 1.3K | $186.8K | $140.44 | 5.44x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 190 | $142.2K | $748.63 | 7.16x |
| 54161 | Removal of foreskin, patient older than 28 days of age | 225 | $128.9K | $572.82 | 6.61x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 85 | $127.3K | $1.5K | 2.79x |
| 52317 | Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone | 131 | $113.7K | $867.60 | 4.93x |
This provider submits charges 5.6 times higher than what Medicare actually pays.
A markup ratio of 5.6x means for every $100 Medicare pays, this provider initially charges $560. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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