This provider's $21.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.5K | $592.36 | 4.22x | $1.9K | $1.7M | 3.5K | 3.0K |
| 2015 | $2.6K | $586.24 | 4.46x | $2.0K | $1.9M | 4.2K | 3.6K |
| 2016 | $2.7K | $637.35 | 4.28x | $2.1K | $2.0M | 4.3K | 3.7K |
| 2017 | $3.0K | $670.46 | 4.48x | $2.3K | $2.5M | 5.1K | 4.2K |
| 2018 | $3.0K | $675.05 | 4.42x | $2.3K | $2.3M | 4.6K | 3.9K |
| 2019 | $2.6K | $648.73 | 4.06x | $2.0K | $2.6M | 5.8K | 4.8K |
| 2020 | $2.6K | $678.55 | 3.77x | $1.9K | $2.1M | 4.6K | 3.9K |
| 2021 | $2.5K | $704.24 | 3.61x | $1.8K | $2.6M | 5.9K | 4.8K |
| 2022 | $2.2K | $683.64 | 3.23x | $1.5K | $2.3M | 5.4K | 4.4K |
| 2023 | $2.7K | $835.50 | 3.26x | $1.9K | $1.4M | 2.3K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.7K | $9.9M | $722.97 | 4.48x |
| 45380 | Biopsy of large bowel using an endoscope | 6.1K | $1.8M | $289.65 | 6.39x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 4.6K | $1.6M | $351.32 | 5.27x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 5.1K | $1.1M | $219.41 | 8.43x |
| V2785 | Processing, preserving and transporting corneal tissue | 330 | $1.0M | $3.2K | 2.28x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 2.3K | $843.3K | $371.81 | 2.52x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.3K | $732.0K | $324.19 | 5.72x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.4K | $458.0K | $329.05 | 5.64x |
| 65820 | Incision to improve eye fluid flow | 282 | $368.5K | $1.3K | 1.74x |
| 65756 | Transplant of outer layer of corneal tissue | 257 | $337.3K | $1.3K | 6.02x |
| 43249 | Balloon dilation of esophagus using an endoscope | 590 | $276.5K | $468.68 | 3.95x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.4K | $268.6K | $80.17 | 7.06x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 1.1K | $257.4K | $229.62 | 8.03x |
| 0191T | Internal insertion of eye fluid drainage device | 145 | $252.0K | $1.7K | 4.60x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 981 | $245.7K | $250.49 | 7.38x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 512 | $224.7K | $438.89 | 3.93x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 189 | $160.2K | $847.68 | 3.61x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 84 | $135.3K | $1.6K | 1.91x |
| 49505 | Repair of groin hernia patient age 5 years or older | 134 | $130.3K | $972.70 | 2.45x |
| 67042 | Removal of membrane from the retina, pars plana approach | 85 | $118.2K | $1.4K | 2.15x |
This provider submits charges 4.83 times higher than what Medicare actually pays.
A markup ratio of 4.83x means for every $100 Medicare pays, this provider initially charges $483. 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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