This provider's $4.7M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 157% from 2020 to 2023.
67% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of lens).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $8.0K | $751.09 | 10.70x | $7.3K | $515.3K | 735 | 539 |
| 2021 | $8.2K | $967.85 | 8.45x | $7.2K | $1.4M | 1.9K | 1.3K |
| 2022 | $8.0K | $894.95 | 8.91x | $7.1K | $1.5M | 2.8K | 1.9K |
| 2023 | $9.6K | $865.40 | 11.12x | $8.8K | $1.3M | 2.6K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.0K | $3.1M | $779.79 | 13.50x |
| 29848 | Release of wrist ligament using an endoscope | 639 | $310.7K | $486.24 | 25.19x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2.1K | $159.1K | $76.91 | 7.29x |
| 65820 | Incision to improve eye fluid flow | 108 | $153.1K | $1.4K | 5.83x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 47 | $150.7K | $3.2K | 4.09x |
| 26055 | Incision of tendon covering | 291 | $123.0K | $422.69 | 20.34x |
| 66982 | Complex removal of cataract with insertion of lens | 117 | $91.3K | $780.45 | 13.48x |
| 29880 | Removal of both knee cartilages using an endoscope | 76 | $77.3K | $1.0K | 12.36x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 21 | $75.0K | $3.6K | 7.09x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 28 | $58.6K | $2.1K | 5.48x |
| 26480 | Transplant of tendon of hand, without graft | 58 | $53.2K | $917.20 | 8.82x |
| 11960 | Insertion of tissue expanders | 43 | $46.5K | $1.1K | 4.57x |
| 25607 | Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device | 13 | $42.2K | $3.2K | 3.11x |
| 29881 | Removal of one knee cartilage using an endoscope | 40 | $40.9K | $1.0K | 11.93x |
| 0191T | Internal insertion of eye fluid drainage device | 15 | $32.4K | $2.2K | 3.94x |
| 25447 | Removal of bone joints between wrist and fingers | 53 | $30.3K | $571.71 | 16.91x |
| 23412 | Repair of chronic torn shoulder rotator cuff | 12 | $27.9K | $2.3K | 6.58x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 91 | $22.4K | $245.96 | 18.34x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 33 | $19.7K | $596.16 | 13.54x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 38 | $18.8K | $493.72 | 11.81x |
This provider submits charges 13.18 times higher than what Medicare actually pays.
A markup ratio of 13.18x means for every $100 Medicare pays, this provider initially charges $1318. 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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