This provider's $13.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.34x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1606% from 2014 to 2023.
79% of their billing comes from a single procedure code (27447 — Replacement of knee joint, both sides of knee).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1985% in 2020
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 | $7.7K | $724.85 | 10.67x | $7.0K | $220.4K | 304 | 4 |
| 2015 | $10.3K | $950.25 | 10.84x | $9.4K | $235.7K | 248 | 5 |
| 2016 | $11.4K | $1.1K | 10.42x | $10.3K | $151.4K | 139 | 3 |
| 2017 | $32.0K | $2.6K | 12.35x | $29.4K | $108.7K | 42 | 3 |
| 2018 | $43.6K | $3.9K | 11.25x | $39.7K | $166.7K | 43 | 2 |
| 2019 | $203.36 | $19.82 | 10.26x | $183.54 | $89.9K | 4.5K | 2 |
| 2020 | $332.36 | $27.84 | 11.94x | $304.52 | $1.9M | 67.3K | 3 |
| 2021 | $347.52 | $29.26 | 11.88x | $318.26 | $3.3M | 112.8K | 4 |
| 2022 | $310.50 | $27.67 | 11.22x | $282.83 | $3.5M | 125.1K | 5 |
| 2023 | $291.09 | $26.97 | 10.79x | $264.12 | $3.8M | 139.4K | 4 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 1.6K | $10.5M | $6.6K | 11.29x |
| 27430 | Repair of muscle group above knee joint | 687 | $745.5K | $1.1K | 15.68x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 99 | $673.1K | $6.8K | 12.50x |
| 27446 | Repair of knee joint | 87 | $484.8K | $5.6K | 10.70x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 446.8K | $475.6K | $1.06 | 4.88x |
| 66984 | Removal of cataract with insertion of lens | 514 | $368.9K | $717.76 | 10.75x |
| 29848 | Release of wrist ligament using an endoscope | 78 | $54.9K | $703.97 | 13.68x |
| 66982 | Removal of cataract with insertion of lens | 43 | $30.7K | $714.25 | 10.80x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 29 | $11.1K | $383.35 | 4.85x |
| 26055 | Incision of tendon covering | 15 | $7.0K | $464.63 | 11.96x |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 35 | $712.11 | $20.35 | 78.64x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 14 | $271.80 | $19.41 | 137.22x |
This provider submits charges 11.34 times higher than what Medicare actually pays.
A markup ratio of 11.34x means for every $100 Medicare pays, this provider initially charges $1134. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data