This provider's $7.3M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.96x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 355% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 261% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $4.0K | $355.85 | 11.32x | $3.7K | $315.5K | 1.1K | 1.1K |
| 2018 | $3.7K | $339.74 | 10.90x | $3.4K | $1.1M | 3.8K | 3.7K |
| 2019 | $3.7K | $337.61 | 10.95x | $3.4K | $1.1M | 3.6K | 3.6K |
| 2020 | $3.9K | $353.56 | 11.07x | $3.6K | $880.2K | 2.8K | 2.8K |
| 2021 | $4.4K | $417.91 | 10.57x | $4.0K | $1.2M | 3.6K | 3.5K |
| 2022 | $4.7K | $394.36 | 11.92x | $4.3K | $1.2M | 3.8K | 3.7K |
| 2023 | $4.9K | $426.96 | 11.47x | $4.5K | $1.4M | 4.2K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 4.5K | $1.7M | $390.59 | 11.56x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 6.9K | $1.7M | $238.35 | 13.26x |
| 45380 | Biopsy of large bowel using an endoscope | 4.4K | $1.4M | $307.45 | 13.02x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.3K | $757.4K | $329.59 | 10.15x |
| 66984 | Removal of cataract with insertion of lens | 581 | $443.1K | $762.57 | 9.12x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.0K | $339.2K | $335.81 | 10.00x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.3K | $304.9K | $238.94 | 13.78x |
| 29848 | Release of wrist ligament using an endoscope | 376 | $201.8K | $536.79 | 9.05x |
| 43249 | Balloon dilation of esophagus using an endoscope | 274 | $137.6K | $502.20 | 16.54x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 247 | $64.2K | $259.87 | 9.48x |
| 45381 | Injections of large bowel using an endoscope | 250 | $61.0K | $244.19 | 16.06x |
| 26145 | Repair of tendon, finger and/or hand | 137 | $51.7K | $377.52 | 17.59x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 103 | $33.8K | $328.56 | 11.73x |
| 49505 | Repair of groin hernia patient age 5 years or older | 25 | $28.6K | $1.1K | 4.14x |
| 45388 | Destruction of large bowel growths using an endoscope | 73 | $26.8K | $367.12 | 7.73x |
| 26055 | Incision of tendon covering | 53 | $20.4K | $385.45 | 12.25x |
| 45331 | Biopsy of large bowel using an endoscope | 66 | $18.1K | $273.89 | 5.24x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 26 | $14.0K | $539.42 | 7.67x |
| 43450 | Dilation of esophagus | 54 | $13.7K | $254.27 | 5.15x |
| 25447 | Removal of bone joints between wrist and fingers | 13 | $10.0K | $766.84 | 19.29x |
This provider submits charges 11.96 times higher than what Medicare actually pays.
A markup ratio of 11.96x means for every $100 Medicare pays, this provider initially charges $1196. 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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