This provider's $15.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.99x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $2.6K | $542.05 | 4.82x | $2.1K | $1.5M | 4.8K | 4.7K |
| 2015 | $2.6K | $521.75 | 4.92x | $2.0K | $1.6M | 5.0K | 4.9K |
| 2016 | $2.6K | $533.84 | 4.83x | $2.0K | $1.7M | 5.4K | 5.3K |
| 2017 | $2.5K | $500.09 | 5.09x | $2.0K | $1.7M | 5.5K | 5.3K |
| 2018 | $3.1K | $552.98 | 5.55x | $2.5K | $1.7M | 5.5K | 5.4K |
| 2019 | $3.3K | $543.00 | 6.02x | $2.7K | $1.6M | 4.8K | 4.7K |
| 2020 | $3.2K | $607.30 | 5.26x | $2.6K | $1.1M | 3.4K | 3.3K |
| 2021 | $3.1K | $549.40 | 5.71x | $2.6K | $1.4M | 4.1K | 4.0K |
| 2022 | $3.2K | $603.23 | 5.27x | $2.6K | $1.5M | 4.3K | 4.2K |
| 2023 | $3.0K | $599.03 | 5.03x | $2.4K | $1.5M | 4.2K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 11.1K | $2.3M | $206.21 | 7.86x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 6.4K | $2.2M | $336.81 | 4.73x |
| 45380 | Biopsy of large bowel using an endoscope | 7.4K | $2.0M | $271.69 | 5.85x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 4.5K | $1.5M | $326.17 | 6.34x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 3.7K | $994.9K | $267.03 | 5.91x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 3.0K | $767.4K | $253.09 | 6.47x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 304 | $537.4K | $1.8K | 3.89x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.5K | $501.9K | $324.26 | 5.62x |
| 29881 | Removal of one knee cartilage using an endoscope | 571 | $495.9K | $868.51 | 6.40x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.7K | $417.0K | $244.84 | 6.74x |
| 29880 | Removal of both knee cartilages using an endoscope | 423 | $366.9K | $867.33 | 6.56x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 494 | $355.7K | $720.04 | 7.54x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 224 | $315.9K | $1.4K | 4.33x |
| 64721 | Release and/or relocation of median nerve of hand | 544 | $291.4K | $535.69 | 5.60x |
| 19301 | Partial removal of breast | 408 | $228.5K | $560.05 | 5.18x |
| 26055 | Incision of tendon covering | 411 | $169.2K | $411.60 | 6.45x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 247 | $163.5K | $661.75 | 3.11x |
| 45388 | Destruction of large bowel growths using an endoscope | 462 | $158.9K | $343.96 | 7.66x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 159 | $125.6K | $789.92 | 2.82x |
| 43242 | Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope | 248 | $119.1K | $480.08 | 3.28x |
This provider submits charges 5.99 times higher than what Medicare actually pays.
A markup ratio of 5.99x means for every $100 Medicare pays, this provider initially charges $599. 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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