This provider's $7.5M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.26x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 28284% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2442% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $9.7K | $511.36 | 18.97x | $9.2K | $10.7K | 21 | 1 |
| 2018 | $7.4K | $503.57 | 14.60x | $6.8K | $272.9K | 542 | 10 |
| 2019 | $1.1K | $68.16 | 15.58x | $993.75 | $385.0K | 5.6K | 13 |
| 2020 | $566.91 | $41.28 | 13.73x | $525.63 | $656.4K | 15.9K | 16 |
| 2021 | $1.5K | $122.03 | 12.21x | $1.4K | $1.3M | 10.8K | 14 |
| 2022 | $911.06 | $82.33 | 11.07x | $828.73 | $1.8M | 21.4K | 14 |
| 2023 | $1.8K | $183.52 | 9.55x | $1.6K | $3.0M | 16.6K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 305 | $2.1M | $6.9K | 12.34x |
| 27447 | Replacement of knee joint, both sides of knee | 285 | $1.9M | $6.8K | 11.09x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 36 | $659.9K | $18.3K | 3.72x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 172 | $613.7K | $3.6K | 6.15x |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 167 | $517.0K | $3.1K | 7.82x |
| 29848 | Release of wrist ligament using an endoscope | 977 | $483.1K | $494.48 | 19.62x |
| 26145 | Repair of tendon, finger, and/or palm of hand | 752 | $277.8K | $369.36 | 17.73x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 350 | $163.1K | $465.99 | 14.92x |
| 11960 | Insertion of tissue expanders | 89 | $102.5K | $1.2K | 8.83x |
| 14040 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less | 117 | $73.0K | $623.91 | 10.18x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 66.0K | $69.0K | $1.05 | 4.63x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 259 | $65.0K | $251.02 | 12.01x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 15 | $53.6K | $3.6K | 6.26x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 215 | $48.7K | $226.61 | 13.30x |
| 26055 | Incision of tendon covering of finger | 102 | $47.8K | $469.06 | 13.96x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 203 | $47.6K | $234.43 | 15.78x |
| 25447 | Removal of bone joints between wrist and fingers | 68 | $45.3K | $666.63 | 21.08x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 79 | $43.1K | $545.24 | 12.75x |
| 26480 | Transplant of tendon of hand | 52 | $41.2K | $793.11 | 12.65x |
| 25310 | Relocation of tendon of forearm and/or wrist | 28 | $15.3K | $544.91 | 21.27x |
This provider submits charges 11.26 times higher than what Medicare actually pays.
A markup ratio of 11.26x means for every $100 Medicare pays, this provider initially charges $1126. 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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