This provider's $36.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.33x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% 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 | $4.6K | $860.88 | 5.38x | $3.8K | $2.6M | 3.0K | 32 |
| 2015 | $5.0K | $856.55 | 5.86x | $4.2K | $2.5M | 2.9K | 28 |
| 2016 | $5.1K | $914.14 | 5.57x | $4.2K | $2.9M | 3.2K | 31 |
| 2017 | $5.2K | $995.65 | 5.26x | $4.2K | $3.6M | 3.7K | 35 |
| 2018 | $5.0K | $985.96 | 5.07x | $4.0K | $3.9M | 3.9K | 35 |
| 2019 | $1.2K | $230.87 | 5.17x | $962.58 | $3.6M | 15.7K | 39 |
| 2020 | $447.47 | $87.86 | 5.09x | $359.61 | $3.2M | 37.0K | 33 |
| 2021 | $358.43 | $77.42 | 4.63x | $281.01 | $4.7M | 61.0K | 40 |
| 2022 | $335.37 | $57.13 | 5.87x | $278.24 | $4.1M | 72.1K | 37 |
| 2023 | $374.42 | $66.12 | 5.66x | $308.30 | $4.9M | 73.9K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 450 | $7.4M | $16.3K | 1.50x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 1.6K | $5.2M | $3.2K | 2.44x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.1K | $2.0M | $1.9K | 7.32x |
| 29848 | Release of wrist ligament using an endoscope | 2.7K | $1.6M | $590.96 | 12.40x |
| 27279 | Fusion of pelvic joint using imaging guidance | 123 | $1.2M | $10.0K | 1.62x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 4.9K | $1.1M | $232.50 | 16.54x |
| 27447 | Replacement of knee joint, both sides of knee | 164 | $1.1M | $6.5K | 5.85x |
| 49650 | Repair of groin hernia using an endoscope | 651 | $944.3K | $1.5K | 3.57x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 117 | $941.3K | $8.0K | 1.87x |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 3.5K | $910.3K | $258.38 | 13.03x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 127 | $849.2K | $6.7K | 7.38x |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 2.5K | $830.0K | $331.60 | 10.19x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 62 | $766.5K | $12.4K | 2.60x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 102 | $716.8K | $7.0K | 1.53x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 53 | $662.9K | $12.5K | 1.64x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.8K | $603.3K | $339.31 | 8.99x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1.2K | $446.6K | $363.35 | 9.62x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.3K | $423.4K | $314.12 | 10.92x |
| 29881 | Removal of knee cartilage using an endoscope | 450 | $414.3K | $920.56 | 7.77x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.2K | $413.6K | $339.55 | 9.97x |
This provider submits charges 5.33 times higher than what Medicare actually pays.
A markup ratio of 5.33x means for every $100 Medicare pays, this provider initially charges $533. 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 |
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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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