This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.21x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 244% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 158% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $8.2K | $889.78 | 9.22x | $7.3K | $523.7K | 781 | 749 |
| 2020 | $12.6K | $1.7K | 7.41x | $10.9K | $1.4M | 1.6K | 1.4K |
| 2021 | $15.1K | $2.0K | 7.49x | $13.1K | $1.7M | 1.3K | 1.2K |
| 2022 | $17.6K | $2.7K | 6.57x | $14.9K | $1.6M | 932 | 851 |
| 2023 | $13.4K | $2.0K | 6.61x | $11.3K | $1.8M | 957 | 861 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 343 | $1.8M | $5.3K | 5.60x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 122 | $1.7M | $14.0K | 5.73x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 150 | $538.9K | $3.6K | 5.99x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 46 | $312.7K | $6.8K | 8.07x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 1.5K | $309.3K | $202.95 | 33.56x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 65 | $242.0K | $3.7K | 6.13x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 11 | $205.1K | $18.6K | 5.07x |
| 50590 | Shock wave crushing of kidney stones | 194 | $190.7K | $983.06 | 18.18x |
| 55700 | Biopsy of prostate gland | 282 | $167.2K | $593.08 | 11.25x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 287 | $160.7K | $559.82 | 15.90x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 186 | $160.3K | $862.02 | 8.36x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 40 | $144.0K | $3.6K | 3.55x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 16 | $118.1K | $7.4K | 4.91x |
| 52204 | Biopsy of the bladder using an endoscope | 188 | $108.7K | $578.30 | 12.35x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 66 | $100.8K | $1.5K | 7.91x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 91 | $94.6K | $1.0K | 6.87x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 90 | $91.8K | $1.0K | 8.81x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 144 | $86.3K | $599.10 | 9.61x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 87 | $70.9K | $814.96 | 8.86x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 41 | $65.5K | $1.6K | 7.88x |
This provider submits charges 8.21 times higher than what Medicare actually pays.
A markup ratio of 8.21x means for every $100 Medicare pays, this provider initially charges $821. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data