This provider's $17.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.28x 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 | $7.3K | $745.86 | 9.77x | $6.5K | $1.6M | 2.2K | 1.8K |
| 2015 | $7.1K | $718.49 | 9.85x | $6.4K | $1.6M | 2.4K | 2.0K |
| 2016 | $7.0K | $674.24 | 10.37x | $6.3K | $1.9M | 3.0K | 2.6K |
| 2017 | $7.2K | $665.34 | 10.76x | $6.5K | $2.0M | 3.2K | 2.7K |
| 2018 | $7.3K | $732.91 | 9.95x | $6.6K | $1.8M | 2.8K | 2.3K |
| 2019 | $6.4K | $670.81 | 9.52x | $5.7K | $1.6M | 2.5K | 2.0K |
| 2020 | $6.6K | $803.18 | 8.28x | $5.8K | $1.3M | 1.8K | 1.4K |
| 2021 | $8.9K | $1.5K | 6.09x | $7.5K | $1.9M | 2.5K | 1.8K |
| 2022 | $8.1K | $907.70 | 8.96x | $7.2K | $1.5M | 2.2K | 1.6K |
| 2023 | $10.7K | $1.2K | 8.71x | $9.5K | $2.0M | 2.4K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 7.2K | $5.5M | $762.59 | 8.93x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 926 | $1.8M | $2.0K | 7.31x |
| 67042 | Removal of membrane from the retina, pars plana approach | 904 | $1.2M | $1.4K | 7.86x |
| 66982 | Removal of cataract with insertion of lens | 1.2K | $915.3K | $764.04 | 8.08x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 661 | $910.0K | $1.4K | 7.83x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 402 | $528.2K | $1.3K | 8.35x |
| 67041 | Removal of membrane from the retina | 342 | $443.2K | $1.3K | 8.67x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.2K | $424.9K | $190.21 | 12.24x |
| 29880 | Removal of both knee cartilages using an endoscope | 379 | $365.4K | $964.23 | 12.30x |
| 45380 | Biopsy of large bowel using an endoscope | 1.1K | $347.4K | $311.05 | 15.39x |
| 29881 | Removal of one knee cartilage using an endoscope | 307 | $298.4K | $971.94 | 11.46x |
| 23405 | Incision of shoulder tendon | 347 | $296.9K | $855.60 | 10.68x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.0K | $227.9K | $217.46 | 25.70x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 16 | $222.0K | $13.9K | 2.79x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 254 | $188.9K | $743.73 | 14.97x |
| 67904 | Repair of tendon of upper eyelid | 373 | $179.3K | $480.59 | 8.99x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 120 | $168.6K | $1.4K | 8.12x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 466 | $160.5K | $344.42 | 4.25x |
| 15732 | Muscle flap wound repair at head and neck | 238 | $156.9K | $659.32 | 9.47x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 348 | $156.0K | $448.16 | 12.77x |
This provider submits charges 9.28 times higher than what Medicare actually pays.
A markup ratio of 9.28x means for every $100 Medicare pays, this provider initially charges $928. 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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