This provider's $29.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.03x is significantly above the specialty median of 6.1x.
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 | $5.6K | $685.88 | 8.16x | $4.9K | $2.6M | 3.7K | 32 |
| 2015 | $5.6K | $685.35 | 8.16x | $4.9K | $2.7M | 3.9K | 39 |
| 2016 | $4.8K | $569.38 | 8.38x | $4.2K | $2.9M | 5.1K | 39 |
| 2017 | $4.7K | $560.53 | 8.47x | $4.2K | $3.1M | 5.5K | 39 |
| 2018 | $4.6K | $532.06 | 8.59x | $4.0K | $3.1M | 5.9K | 44 |
| 2019 | $2.6K | $326.13 | 8.00x | $2.3K | $3.4M | 10.6K | 41 |
| 2020 | $1.3K | $149.98 | 8.36x | $1.1K | $2.4M | 16.3K | 36 |
| 2021 | $1.7K | $214.45 | 7.85x | $1.5K | $2.9M | 13.7K | 37 |
| 2022 | $1.4K | $192.52 | 7.51x | $1.3K | $3.3M | 17.0K | 35 |
| 2023 | $1.0K | $147.06 | 6.98x | $878.87 | $3.1M | 21.1K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 14.0K | $10.3M | $733.07 | 7.04x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 6.0K | $1.4M | $236.06 | 13.36x |
| 69930 | Insertion of cochlear device | 43 | $942.1K | $21.9K | 2.66x |
| 0191T | Internal insertion of eye fluid drainage device | 469 | $902.2K | $1.9K | 3.17x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 572 | $775.6K | $1.4K | 6.33x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 593 | $767.9K | $1.3K | 6.63x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 932 | $684.5K | $734.47 | 7.86x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 94 | $642.1K | $6.8K | 9.77x |
| 27447 | Replacement of knee joint, both sides of knee | 88 | $589.0K | $6.7K | 9.97x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 1.1K | $511.0K | $477.11 | 8.29x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 373 | $505.8K | $1.4K | 6.46x |
| 58558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | 538 | $470.9K | $875.24 | 11.35x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1.4K | $458.5K | $332.51 | 9.53x |
| 31276 | Exploration of nasal sinus using an endoscope | 452 | $452.2K | $1.0K | 6.44x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 968 | $440.0K | $454.59 | 8.25x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.4K | $437.4K | $312.45 | 10.10x |
| 67904 | Repair of tendon of upper eyelid | 870 | $406.8K | $467.60 | 7.14x |
| V2785 | Processing, preserving and transporting corneal tissue | 187 | $397.8K | $2.1K | 1.32x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 253 | $358.5K | $1.4K | 5.27x |
| 45388 | Destruction of polyp or growth of large bowel using a flexible endoscope | 842 | $304.9K | $362.14 | 8.73x |
This provider submits charges 8.03 times higher than what Medicare actually pays.
A markup ratio of 8.03x means for every $100 Medicare pays, this provider initially charges $803. 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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