This provider's $30.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.98x is significantly above the specialty median of 6.1x.
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 | $2.9K | $613.12 | 4.81x | $2.3K | $2.4M | 3.9K | 35 |
| 2015 | $3.9K | $636.45 | 6.12x | $3.3K | $2.3M | 3.5K | 33 |
| 2016 | $3.7K | $587.80 | 6.21x | $3.1K | $2.5M | 4.3K | 33 |
| 2017 | $3.8K | $577.77 | 6.65x | $3.3K | $2.6M | 4.4K | 34 |
| 2018 | $4.7K | $622.81 | 7.62x | $4.1K | $2.8M | 4.4K | 36 |
| 2019 | $4.6K | $680.88 | 6.71x | $3.9K | $3.6M | 5.3K | 37 |
| 2020 | $3.0K | $422.47 | 7.09x | $2.6K | $3.4M | 8.1K | 33 |
| 2021 | $1.8K | $263.34 | 6.91x | $1.6K | $4.2M | 15.8K | 35 |
| 2022 | $1.8K | $231.98 | 7.90x | $1.6K | $3.7M | 15.9K | 35 |
| 2023 | $133.83 | $15.63 | 8.56x | $118.20 | $3.6M | 230.3K | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 16.0K | $11.9M | $741.16 | 7.50x |
| V2785 | Processing, preserving and transporting corneal tissue | 431 | $1.4M | $3.4K | 3.91x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.4K | $998.6K | $727.87 | 7.59x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 12.0K | $940.0K | $78.59 | 6.30x |
| 29848 | Release of wrist ligament using an endoscope | 1.3K | $817.8K | $616.72 | 10.20x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 7.2K | $786.9K | $109.32 | 6.30x |
| 27446 | Replacement of knee joint on side of knee | 115 | $726.4K | $6.3K | 2.83x |
| 67041 | Removal of membrane of retina | 517 | $658.9K | $1.3K | 5.50x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 452 | $613.0K | $1.4K | 5.38x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1.6K | $586.9K | $368.91 | 7.39x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 409 | $558.1K | $1.4K | 5.59x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 247 | $534.3K | $2.2K | 2.58x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.2K | $523.8K | $237.96 | 14.19x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.7K | $514.5K | $302.13 | 8.80x |
| 26055 | Incision of tendon covering of finger | 1.3K | $504.3K | $400.24 | 9.97x |
| 65756 | Transplantation of outer layer of corneal tissue | 330 | $449.8K | $1.4K | 5.33x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 997 | $445.5K | $446.86 | 8.18x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 328 | $438.0K | $1.3K | 5.81x |
| 66174 | Dilation of fluid outflow drainage within eye | 301 | $383.7K | $1.3K | 3.83x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 928 | $351.4K | $378.71 | 2.64x |
This provider submits charges 6.98 times higher than what Medicare actually pays.
A markup ratio of 6.98x means for every $100 Medicare pays, this provider initially charges $698. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laser & Surgical Services At Center For Sight Llc | Sarasota, FL | $47.1M | ✓ Clear |
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ 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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