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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. West Florida Medical Center Clinic Pa
๐Ÿ”ช
Organization

West Florida Medical Center Clinic Pa

NPI: 1043396245
Pensacola, FL
10 years of data
Ambulatory Surgical Center
$36.5M
Total Payments
419
Beneficiaries
163.9K
Services
2.9x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$36.5M
Specialty median$657.1K
Rank #32 of 44 in specialty

๐Ÿ“‹ Key Findings

1Billed $36.5M over 10 years
22.9x markup ratio (above median)
399th percentile in Ambulatory Surgical Center by payments
47 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $36.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.

Medicare payments to this provider grew 56% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$576.02$183.053.15x$392.97$2.4M13.1K44
2015$675.32$225.293.00x$450.03$2.9M13.0K45
2016$713.90$232.453.07x$481.45$3.9M16.8K47
2017$523.19$173.173.02x$350.02$4.0M23.0K50
2018$557.94$194.382.87x$363.56$4.7M24.1K46
2019$540.04$188.732.86x$351.31$4.2M22.4K46
2020$787.03$274.242.87x$512.79$3.2M11.5K39
2021$862.45$307.882.80x$554.57$3.9M12.6K39
2022$746.39$265.832.81x$480.56$3.6M13.5K33
2023$727.00$269.182.70x$457.82$3.7M13.9K30

Top Procedures (20)

66984Removal of cataract with insertion of prosthetic lens
$6.1M
8.8K services$691.03/svc2.67x markup
64561Insertion of sacral nerve neurostimulator electrode array
$2.7M
845 services$3.2K/svc2.53x markup
63650Insertion of spinal neurostimulator electrode array through skin
$2.6M
852 services$3.0K/svc2.55x markup
64590Insertion of peripheral or gastric neurostimulator generator
$2.6M
208 services$12.3K/svc2.50x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
$1.7M
3.1K services$553.75/svc2.61x markup
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscopeโš  4.3x markup
$1.6M
7.8K services$208.97/svc4.31x markup
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery
$1.5M
5.0K services$305.87/svc2.99x markup
64493Injection of lower or sacral spine facet joint using imaging guidance, single levelโš  3.4x markup
$1.3M
6.0K services$219.04/svc3.35x markup
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare
$1.1M
3.2K services$347.40/svc2.66x markup
43450Dilation of esophagus
$1.0M
4.0K services$252.05/svc2.84x markup
66982Complex removal of cataract with insertion of prosthetic lensโš  3.3x markup
$876.5K
1.5K services$567.66/svc3.25x markup
67041Removal of membrane of retina
$834.7K
660 services$1.3K/svc2.54x markup
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$749.6K
3.0K services$246.01/svc2.81x markup
45380Biopsy of large bowel using a flexible endoscopeโš  3.4x markup
$681.8K
2.6K services$265.40/svc3.44x markup
G0105Colorectal cancer screening; colonoscopy on individual at high risk
$674.2K
2.0K services$330.30/svc2.72x markup
67042Removal of membrane of retina with removal of internal limiting membrane of retina
$615.9K
491 services$1.3K/svc2.55x markup
66821Removal of recurring cataract in lens capsule using a laserโš  5.1x markup
$611.2K
3.5K services$176.99/svc5.08x markup
64490Injection of upper or middle spine facet joint using imaging guidance, single levelโš  3.3x markup
$599.8K
2.7K services$223.96/svc3.27x markup
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrographyโš  3.4x markup
$527.3K
2.8K services$187.91/svc3.38x markup
V2785Processing, preserving and transporting corneal tissue
$486.7K
204 services$2.4K/svc1.50x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
66984Removal of cataract with insertion of prosthetic lens8.8K$6.1M$691.032.67x
64561Insertion of sacral nerve neurostimulator electrode array845$2.7M$3.2K2.53x
63650Insertion of spinal neurostimulator electrode array through skin852$2.6M$3.0K2.55x
64590Insertion of peripheral or gastric neurostimulator generator208$2.6M$12.3K2.50x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint3.1K$1.7M$553.752.61x
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7.8K$1.6M$208.974.31x
45384Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery5.0K$1.5M$305.872.99x
64493Injection of lower or sacral spine facet joint using imaging guidance, single level6.0K$1.3M$219.043.35x
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3.2K$1.1M$347.402.66x
43450Dilation of esophagus4.0K$1.0M$252.052.84x
66982Complex removal of cataract with insertion of prosthetic lens1.5K$876.5K$567.663.25x
67041Removal of membrane of retina660$834.7K$1.3K2.54x
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level3.0K$749.6K$246.012.81x
45380Biopsy of large bowel using a flexible endoscope2.6K$681.8K$265.403.44x
G0105Colorectal cancer screening; colonoscopy on individual at high risk2.0K$674.2K$330.302.72x
67042Removal of membrane of retina with removal of internal limiting membrane of retina491$615.9K$1.3K2.55x
66821Removal of recurring cataract in lens capsule using a laser3.5K$611.2K$176.995.08x
64490Injection of upper or middle spine facet joint using imaging guidance, single level2.7K$599.8K$223.963.27x
G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography2.8K$527.3K$187.913.38x
V2785Processing, preserving and transporting corneal tissue204$486.7K$2.4K1.50x

Markup Analysis

Charge-to-Payment Ratio

2.9x

This provider submits charges 2.9 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. This is higher than the national average.

Location

Pensacola, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in FL for peer comparison.

West Florida Medical Center Clinic Pa (you)
$36.5M
Laser & Surgical Services At Center For Sight Llc
$47.1M
St Lukes Surgical Center Inc
$39.9M
Murdock Ambulatory Surgery Center Llc
$36.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Laser & Surgical Services At Center For Sight LlcSarasota, FL$47.1Mโœ“ Clear
St Lukes Surgical Center IncTarpon Springs, FL$39.9Mโœ“ Clear
Murdock Ambulatory Surgery Center LlcPort Charlotte, FL$36.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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