This provider's $18.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 71% 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 | $874.15 | $284.72 | 3.07x | $589.43 | $1.3M | 5.6K | 5.4K |
| 2015 | $870.37 | $267.41 | 3.25x | $602.96 | $1.5M | 5.9K | 5.7K |
| 2016 | $934.04 | $301.46 | 3.10x | $632.58 | $1.6M | 6.2K | 6.0K |
| 2017 | $920.75 | $292.22 | 3.15x | $628.53 | $1.5M | 5.5K | 5.4K |
| 2018 | $1.0K | $298.16 | 3.41x | $719.77 | $1.8M | 6.7K | 6.4K |
| 2019 | $1.2K | $347.85 | 3.31x | $803.03 | $2.0M | 7.1K | 6.8K |
| 2020 | $1.1K | $327.67 | 3.47x | $807.77 | $1.7M | 6.3K | 6.0K |
| 2021 | $1.2K | $389.63 | 3.01x | $784.07 | $2.3M | 7.5K | 7.2K |
| 2022 | $1.2K | $374.85 | 3.24x | $839.42 | $2.1M | 7.1K | 6.7K |
| 2023 | $2.1K | $408.87 | 5.06x | $1.7K | $2.2M | 6.8K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 18.6K | $3.8M | $203.97 | 4.80x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 10.0K | $3.5M | $355.26 | 2.95x |
| 45380 | Biopsy of large bowel using an endoscope | 12.1K | $3.5M | $290.16 | 3.19x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 3.5K | $1.1M | $329.75 | 3.00x |
| 43450 | Dilation of esophagus | 4.8K | $1.1M | $232.30 | 3.29x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 4.3K | $1.0M | $242.55 | 3.92x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 2.6K | $841.0K | $329.42 | 3.06x |
| 43249 | Balloon dilation of esophagus using an endoscope | 1.1K | $538.2K | $472.54 | 2.85x |
| 49082 | Drainage of fluid from abdominal cavity | 1.3K | $358.3K | $269.16 | 4.89x |
| 43237 | Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope | 667 | $332.8K | $498.91 | 5.55x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.3K | $291.3K | $230.99 | 3.66x |
| 45331 | Biopsy of large bowel using an endoscope | 1.2K | $267.3K | $215.39 | 3.64x |
| 43238 | Ultrasound guided needle aspiration or biopsies of esophagus using an endoscope | 404 | $198.8K | $492.10 | 4.52x |
| 43244 | Tying of dilated veins of stomach and/or esophagus using an endoscope | 379 | $173.8K | $458.69 | 2.77x |
| 43259 | Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope | 354 | $163.1K | $460.61 | 4.33x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 207 | $95.9K | $463.27 | 2.84x |
| 43229 | Destruction of growths of esophagus using an endoscope | 93 | $88.7K | $953.30 | 1.96x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 295 | $75.7K | $256.54 | 3.82x |
| 45381 | Injections of large bowel using an endoscope | 308 | $71.9K | $233.46 | 4.44x |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope | 152 | $69.5K | $457.43 | 4.18x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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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