This provider's $3.7M in total Medicare payments ranks in the 91th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.21x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1150% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 418% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $8.5K | $646.11 | 13.10x | $7.8K | $93.9K | 156 | 149 |
| 2020 | $12.6K | $940.06 | 13.45x | $11.7K | $486.4K | 596 | 569 |
| 2021 | $15.7K | $1.3K | 11.63x | $14.3K | $819.4K | 791 | 755 |
| 2022 | $19.9K | $1.7K | 11.58x | $18.2K | $1.1M | 772 | 733 |
| 2023 | $18.2K | $1.5K | 12.09x | $16.7K | $1.2M | 901 | 847 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 85 | $572.4K | $6.7K | 11.66x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 76 | $517.5K | $6.8K | 13.07x |
| 64721 | Release and/or relocation of median nerve of hand | 622 | $355.4K | $571.40 | 11.33x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 142 | $284.2K | $2.0K | 11.41x |
| 25445 | Arthroplasty or replacement of wrist bone, one wrist bone (trapezium bone) | 57 | $189.9K | $3.3K | 7.02x |
| 27446 | Replacement of knee joint on side of knee | 28 | $182.4K | $6.5K | 9.75x |
| 26055 | Incision of tendon covering | 415 | $174.7K | $421.02 | 16.05x |
| 49650 | Repair of groin hernia using an endoscope | 123 | $171.2K | $1.4K | 13.27x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 94 | $137.5K | $1.5K | 10.85x |
| 55700 | Biopsy of prostate gland | 182 | $108.1K | $593.78 | 11.81x |
| 47562 | Removal of gallbladder using an endoscope | 60 | $104.1K | $1.7K | 10.60x |
| 29881 | Removal of one knee cartilage using an endoscope | 105 | $103.5K | $985.47 | 11.31x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 63 | $97.5K | $1.5K | 7.05x |
| 20680 | Removal of deep bone implant | 127 | $96.2K | $757.47 | 10.62x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 90 | $77.8K | $864.14 | 12.13x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 25 | $76.5K | $3.1K | 7.92x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 143 | $48.0K | $335.67 | 19.21x |
| 29880 | Removal of both knee cartilages using an endoscope | 49 | $47.7K | $973.13 | 11.10x |
| 49652 | Repair of hernia using an endoscope | 25 | $41.7K | $1.7K | 14.48x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 69 | $38.3K | $555.75 | 35.17x |
This provider submits charges 12.21 times higher than what Medicare actually pays.
A markup ratio of 12.21x means for every $100 Medicare pays, this provider initially charges $1221. 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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