This provider's $6.1M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.5x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 59% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 143% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.3K | $310.50 | 4.30x | $1.0K | $530.5K | 1.6K | 1.4K |
| 2015 | $1.4K | $362.73 | 3.94x | $1.1K | $558.3K | 1.6K | 1.3K |
| 2016 | $1.6K | $445.03 | 3.49x | $1.1K | $367.7K | 1.0K | 970 |
| 2017 | $9.8K | $985.89 | 9.95x | $8.8K | $219.0K | 329 | 327 |
| 2018 | $9.1K | $920.71 | 9.88x | $8.2K | $531.3K | 866 | 846 |
| 2019 | $17.6K | $1.9K | 9.48x | $15.8K | $913.2K | 1.3K | 1.3K |
| 2020 | $9.6K | $940.77 | 10.23x | $8.7K | $519.1K | 885 | 871 |
| 2021 | $11.9K | $1.2K | 9.85x | $10.7K | $757.5K | 1.0K | 971 |
| 2022 | $10.2K | $1.1K | 8.97x | $9.1K | $872.9K | 1.1K | 1.1K |
| 2023 | $11.5K | $1.3K | 9.20x | $10.3K | $844.7K | 1.0K | 965 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 164 | $856.6K | $5.2K | 9.76x |
| 45380 | Biopsy of large bowel using an endoscope | 2.1K | $638.4K | $308.83 | 9.60x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 2.5K | $578.9K | $233.41 | 10.31x |
| 67042 | Removal of membrane from the retina, pars plana approach | 377 | $539.1K | $1.4K | 9.32x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 349 | $501.9K | $1.4K | 9.25x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.3K | $465.7K | $371.35 | 8.13x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 250 | $355.9K | $1.4K | 9.36x |
| 33282 | Implantation patient-activated heart monitoring device | 60 | $292.7K | $4.9K | 9.58x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 655 | $220.3K | $336.31 | 6.59x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 448 | $185.9K | $414.95 | 2.96x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 27 | $166.4K | $6.2K | 9.63x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 254 | $156.5K | $616.28 | 2.44x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 304 | $122.8K | $403.91 | 3.03x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 324 | $110.0K | $339.64 | 6.10x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 11 | $107.1K | $9.7K | 8.23x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 362 | $101.7K | $280.93 | 7.58x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 148 | $92.6K | $625.87 | 2.56x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 238 | $88.9K | $373.73 | 3.60x |
| 43249 | Balloon dilation of esophagus using an endoscope | 156 | $78.3K | $501.78 | 9.24x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 51 | $73.7K | $1.4K | 9.22x |
This provider submits charges 8.5 times higher than what Medicare actually pays.
A markup ratio of 8.5x means for every $100 Medicare pays, this provider initially charges $850. 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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