This provider's $10.6M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 19.08x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 15174% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2561% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $5.7K | $285.06 | 20.07x | $5.4K | $16.6K | 60 | 60 |
| 2016 | $7.6K | $423.75 | 17.92x | $7.2K | $440.6K | 1.4K | 1.4K |
| 2017 | $6.6K | $409.36 | 16.09x | $6.2K | $478.4K | 1.6K | 1.6K |
| 2018 | $7.7K | $477.74 | 16.08x | $7.2K | $500.8K | 1.6K | 1.6K |
| 2019 | $9.9K | $393.14 | 25.11x | $9.5K | $499.8K | 1.6K | 1.6K |
| 2020 | $7.9K | $448.17 | 17.58x | $7.4K | $1.3M | 2.8K | 2.4K |
| 2021 | $8.5K | $504.56 | 16.79x | $8.0K | $2.4M | 4.6K | 3.9K |
| 2022 | $9.0K | $534.30 | 16.94x | $8.5K | $2.5M | 4.8K | 4.1K |
| 2023 | $9.9K | $543.14 | 18.26x | $9.4K | $2.5M | 4.8K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.4K | $4.2M | $772.19 | 16.15x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.8K | $844.5K | $223.94 | 26.76x |
| 45380 | Biopsy of large bowel using an endoscope | 2.4K | $778.0K | $318.84 | 26.93x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.8K | $698.9K | $386.97 | 24.20x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.4K | $468.4K | $345.40 | 12.68x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 933 | $233.9K | $250.67 | 34.23x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 687 | $233.2K | $339.38 | 15.45x |
| 55700 | Biopsy of prostate gland | 388 | $228.1K | $587.92 | 13.35x |
| 66982 | Complex removal of cataract with insertion of lens | 293 | $223.2K | $761.62 | 16.34x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 737 | $215.2K | $291.97 | 28.02x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 755 | $194.6K | $257.73 | 24.13x |
| 0191T | Internal insertion of eye fluid drainage device | 92 | $191.7K | $2.1K | 6.59x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 78 | $183.9K | $2.4K | 6.84x |
| 67917 | Extensive repair of turning-outward eyelid defect | 335 | $157.4K | $469.94 | 20.13x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 372 | $138.1K | $371.26 | 19.21x |
| 64721 | Release and/or relocation of median nerve of hand | 214 | $124.3K | $581.02 | 18.85x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 216 | $100.8K | $466.52 | 13.49x |
| 15822 | Removal of excessive skin of upper eyelid | 226 | $100.5K | $444.89 | 12.90x |
| 67904 | Repair of tendon of upper eyelid | 205 | $95.1K | $463.83 | 19.82x |
| 43249 | Balloon dilation of esophagus using an endoscope | 155 | $82.0K | $528.80 | 14.23x |
This provider submits charges 19.08 times higher than what Medicare actually pays.
A markup ratio of 19.08x means for every $100 Medicare pays, this provider initially charges $1908. 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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