This provider's $14.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 50% 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 | $922.30 | $269.39 | 3.42x | $652.91 | $1.1M | 4.0K | 3.8K |
| 2015 | $946.63 | $306.59 | 3.09x | $640.04 | $1.2M | 3.9K | 3.7K |
| 2016 | $972.01 | $300.95 | 3.23x | $671.06 | $1.3M | 4.1K | 4.0K |
| 2017 | $972.07 | $287.28 | 3.38x | $684.79 | $1.5M | 4.7K | 4.5K |
| 2018 | $946.93 | $277.09 | 3.42x | $669.84 | $1.5M | 4.6K | 4.4K |
| 2019 | $925.50 | $284.09 | 3.26x | $641.41 | $1.5M | 4.7K | 4.6K |
| 2020 | $947.03 | $291.83 | 3.25x | $655.20 | $1.4M | 4.3K | 4.2K |
| 2021 | $997.32 | $326.70 | 3.05x | $670.62 | $1.5M | 4.4K | 4.3K |
| 2022 | $988.77 | $375.66 | 2.63x | $613.11 | $1.5M | 4.2K | 4.1K |
| 2023 | $1.1K | $416.44 | 2.57x | $651.94 | $1.7M | 4.3K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 16.6K | $6.3M | $381.06 | 2.61x |
| 45380 | Biopsy of large bowel using an endoscope | 7.6K | $2.2M | $297.01 | 3.34x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 6.1K | $1.5M | $253.27 | 3.76x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 4.1K | $1.5M | $371.38 | 2.57x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.9K | $709.2K | $367.64 | 2.59x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.8K | $519.6K | $289.01 | 3.30x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.3K | $331.7K | $247.17 | 3.86x |
| 43450 | Dilation of esophagus | 1.2K | $323.6K | $276.08 | 3.25x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.1K | $301.2K | $276.07 | 3.58x |
| 45381 | Injections of large bowel using an endoscope | 602 | $122.8K | $204.01 | 4.85x |
| 43249 | Balloon dilation of esophagus using an endoscope | 182 | $93.3K | $512.55 | 2.54x |
| 45390 | Removal of large bowel tissue using a flexible endoscope | 87 | $82.0K | $942.20 | 1.45x |
| 46221 | Removal of hemorrhoid by rubber banding | 194 | $25.3K | $130.55 | 4.95x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 37 | $19.2K | $518.78 | 2.36x |
| 45331 | Biopsy of large bowel using an endoscope | 46 | $12.7K | $276.54 | 2.34x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 44 | $4.4K | $100.30 | 6.44x |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy | 11 | $1.4K | $130.95 | 4.93x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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