This provider's $16.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 73% from 2014 to 2023.
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 | $789.30 | $246.78 | 3.20x | $542.52 | $1.3M | 4.4K | 4.3K |
| 2015 | $760.09 | $282.94 | 2.69x | $477.15 | $1.3M | 4.3K | 4.2K |
| 2016 | $724.93 | $300.51 | 2.41x | $424.42 | $1.4M | 4.5K | 4.5K |
| 2017 | $714.57 | $268.19 | 2.66x | $446.38 | $1.5M | 5.0K | 4.9K |
| 2018 | $727.01 | $278.01 | 2.62x | $449.00 | $1.5M | 5.0K | 4.9K |
| 2019 | $1.1K | $304.36 | 3.72x | $827.71 | $1.8M | 5.6K | 5.5K |
| 2020 | $1.1K | $310.12 | 3.68x | $832.61 | $1.6M | 5.0K | 4.9K |
| 2021 | $1.6K | $326.84 | 4.79x | $1.2K | $1.8M | 5.4K | 5.3K |
| 2022 | $1.6K | $333.64 | 4.81x | $1.3K | $1.9M | 5.6K | 5.5K |
| 2023 | $1.7K | $346.76 | 4.93x | $1.4K | $2.2M | 6.1K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 13.6K | $5.1M | $374.71 | 3.61x |
| 45380 | Biopsy of large bowel using an endoscope | 12.2K | $3.8M | $313.73 | 3.85x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 12.4K | $2.9M | $236.14 | 3.83x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 5.2K | $1.9M | $359.09 | 3.31x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 2.4K | $864.9K | $356.95 | 3.25x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 2.3K | $618.3K | $268.69 | 4.16x |
| 43249 | Balloon dilation of esophagus using an endoscope | 1.1K | $559.4K | $491.55 | 3.24x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 555 | $141.9K | $255.71 | 3.88x |
| 45381 | Injections of large bowel using an endoscope | 390 | $83.0K | $212.91 | 4.75x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 153 | $74.2K | $485.07 | 3.39x |
| 45331 | Biopsy of large bowel using an endoscope | 171 | $41.0K | $239.51 | 3.61x |
| 43450 | Dilation of esophagus | 71 | $19.0K | $267.87 | 2.68x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 174 | $15.8K | $90.92 | 5.77x |
| 43255 | Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope | 11 | $3.9K | $354.52 | 1.48x |
| 45388 | Destruction of large bowel growths using an endoscope | 11 | $3.3K | $304.42 | 2.83x |
| 45383 | Removal of polyps or growths in large bowel using an endoscope | 12 | $2.9K | $237.83 | 3.61x |
| 46221 | Removal of hemorrhoid by rubber banding | 22 | $1.5K | $67.68 | 8.24x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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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