This provider's $9.8M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.0K | $660.60 | 3.00x | $1.3K | $634.9K | 1.6K | 1.4K |
| 2015 | $2.4K | $682.81 | 3.48x | $1.7K | $940.4K | 2.0K | 1.8K |
| 2016 | $4.2K | $1.3K | 3.21x | $2.9K | $1.0M | 1.8K | 1.6K |
| 2017 | $4.1K | $1.3K | 3.15x | $2.8K | $1.2M | 1.9K | 1.7K |
| 2018 | $3.0K | $825.56 | 3.61x | $2.2K | $1.2M | 2.0K | 1.8K |
| 2019 | $3.4K | $832.45 | 4.09x | $2.6K | $1.2M | 2.0K | 1.8K |
| 2020 | $4.0K | $1.1K | 3.70x | $2.9K | $899.9K | 1.4K | 1.3K |
| 2021 | $3.4K | $912.77 | 3.77x | $2.5K | $1.0M | 1.6K | 1.4K |
| 2022 | $4.4K | $1.1K | 4.03x | $3.3K | $864.9K | 1.4K | 1.3K |
| 2023 | $5.7K | $1.0K | 5.47x | $4.7K | $848.7K | 1.5K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 398 | $2.0M | $5.1K | 3.01x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 8.1K | $1.8M | $219.40 | 4.96x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 743 | $1.1M | $1.4K | 5.24x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 535 | $751.7K | $1.4K | 3.97x |
| 52310 | Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope | 966 | $575.1K | $595.31 | 3.56x |
| 50590 | Shock wave crushing of kidney stones | 455 | $562.3K | $1.2K | 3.95x |
| 55700 | Biopsy of prostate gland | 873 | $517.5K | $592.74 | 3.29x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 327 | $310.5K | $949.64 | 3.75x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 328 | $308.7K | $941.26 | 3.57x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 514 | $308.2K | $599.65 | 4.30x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 389 | $293.4K | $754.37 | 5.15x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 23 | $261.0K | $11.3K | 2.51x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 148 | $214.0K | $1.4K | 3.21x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 213 | $158.7K | $745.06 | 3.82x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 153 | $117.1K | $765.18 | 5.27x |
| 52204 | Biopsy of the bladder using an endoscope | 136 | $96.4K | $708.91 | 2.96x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 27 | $95.7K | $3.5K | 2.87x |
| 76872 | Ultrasound of rectum | 1.5K | $66.2K | $45.11 | 4.53x |
| 74420 | Imaging of urinary tract | 446 | $65.2K | $146.14 | 3.32x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 108 | $64.2K | $594.32 | 3.65x |
This provider submits charges 4 times higher than what Medicare actually pays.
A markup ratio of 4x means for every $100 Medicare pays, this provider initially charges $400. 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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