Statistical flag only — not an accusation of fraud
This provider's $74.4M in total Medicare payments ranks in the 99th percentile of All Other Suppliers providers nationally.
Medicare payments to this provider grew 775% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 66/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 105% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $739.28 | $420.73 | 1.76x | $318.55 | $1.7M | 3.9K | 9 |
| 2015 | $1.1K | $651.12 | 1.63x | $412.62 | $2.7M | 4.1K | 10 |
| 2016 | $1.3K | $865.99 | 1.50x | $433.61 | $5.5M | 6.4K | 9 |
| 2017 | $1.5K | $933.28 | 1.65x | $603.59 | $9.0M | 9.6K | 11 |
| 2018 | $1.3K | $885.88 | 1.52x | $456.80 | $9.3M | 10.5K | 11 |
| 2019 | $1.7K | $973.81 | 1.74x | $723.07 | $5.8M | 6.0K | 11 |
| 2020 | $1.5K | $1.0K | 1.49x | $506.54 | $7.2M | 6.9K | 12 |
| 2021 | $1.8K | $1.2K | 1.53x | $630.87 | $9.3M | 7.8K | 10 |
| 2022 | $1.6K | $1.1K | 1.45x | $512.60 | $9.4M | 8.3K | 10 |
| 2023 | $1.8K | $1.2K | 1.50x | $585.49 | $14.5M | 12.4K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 52.0K | $42.2M | $812.05 | 1.28x |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 12.3K | $15.9M | $1.3K | 1.35x |
| Q0506 | Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only | 7.6K | $5.3M | $695.48 | 2.10x |
| Q0481 | Microprocessor control unit for use with electric ventricular assist device, replacement only | 419 | $4.7M | $11.3K | 1.42x |
| Q0479 | Power module for use with electric or electric/pneumatic ventricular assist device, replacement only | 424 | $4.0M | $9.5K | 2.43x |
| Q0495 | Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only | 375 | $1.3M | $3.5K | 6.22x |
| Q0497 | Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only | 1.0K | $398.2K | $392.33 | 3.89x |
| Q0498 | Holster for use with electric or electric/pneumatic ventricular assist device, replacement only | 581 | $240.4K | $413.76 | 2.54x |
| Q0501 | Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only | 382 | $153.3K | $401.22 | 2.70x |
| Q0499 | Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only | 562 | $78.5K | $139.64 | 5.77x |
| Q0477 | Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only | 101 | $53.4K | $528.64 | 4.49x |
| L8689 | External recharging system for battery (internal) for use with implantable neurostimulator, replacement only | 12 | $18.6K | $1.5K | 3.23x |
| Q0496 | Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only | 15 | $17.0K | $1.1K | 1.53x |
| Q0478 | Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type | 94 | $14.2K | $151.33 | 11.46x |
This provider submits charges 1.54 times higher than what Medicare actually pays.
A markup ratio of 1.54x means for every $100 Medicare pays, this provider initially charges $154. This is lower 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 All Other Suppliers providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Continuum Services Llc | Gainesville, FL | $41.8M | ✓ 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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