This provider's $10.9M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.92x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 835% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 122% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $12.1K | $989.57 | 12.23x | $11.1K | $323.6K | 327 | 7 |
| 2017 | $13.5K | $991.83 | 13.56x | $12.5K | $583.2K | 588 | 11 |
| 2018 | $10.3K | $756.00 | 13.58x | $9.5K | $851.3K | 1.1K | 18 |
| 2019 | $11.0K | $836.59 | 13.18x | $10.2K | $875.9K | 1.0K | 18 |
| 2020 | $1.1K | $85.12 | 12.99x | $1.0K | $780.9K | 9.2K | 16 |
| 2021 | $1.4K | $120.52 | 11.95x | $1.3K | $1.7M | 14.4K | 20 |
| 2022 | $1.6K | $123.41 | 12.65x | $1.4K | $2.8M | 22.4K | 18 |
| 2023 | $3.7K | $276.84 | 13.39x | $3.4K | $3.0M | 10.9K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 415 | $2.8M | $6.8K | 13.68x |
| 27447 | Replacement of knee joint, both sides of knee | 345 | $2.3M | $6.7K | 12.33x |
| 27446 | Replacement of knee joint on side of knee | 223 | $1.3M | $5.9K | 10.48x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 615 | $1.2M | $2.0K | 11.54x |
| 29881 | Removal of knee cartilage using an endoscope | 536 | $506.4K | $944.83 | 11.57x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 125 | $369.9K | $3.0K | 8.23x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 90 | $273.6K | $3.0K | 7.78x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 397 | $220.9K | $556.54 | 35.01x |
| 29880 | Removal of both knee cartilages using an endoscope | 226 | $212.1K | $938.57 | 11.60x |
| 28285 | Correction of toe joint deformity | 344 | $206.2K | $599.34 | 12.97x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 381 | $186.7K | $490.14 | 14.85x |
| 23430 | Anchoring of biceps tendon | 95 | $172.2K | $1.8K | 12.94x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 14 | $129.1K | $9.2K | 6.02x |
| 29848 | Release of wrist ligament using an endoscope | 257 | $126.3K | $491.37 | 21.22x |
| 20680 | Removal of deep implant from bone | 171 | $124.5K | $727.79 | 10.95x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 37 | $118.8K | $3.2K | 4.90x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 466 | $113.0K | $242.44 | 15.71x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 138 | $84.4K | $611.75 | 32.76x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 53.5K | $56.6K | $1.06 | 5.83x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 96 | $49.8K | $518.60 | 12.56x |
This provider submits charges 12.92 times higher than what Medicare actually pays.
A markup ratio of 12.92x means for every $100 Medicare pays, this provider initially charges $1292. 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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