This provider's $18.2M 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 | $2.4K | $467.56 | 5.09x | $1.9K | $1.5M | 4.3K | 3.9K |
| 2015 | $2.7K | $569.30 | 4.70x | $2.1K | $1.8M | 4.5K | 4.1K |
| 2016 | $2.4K | $514.88 | 4.63x | $1.9K | $1.8M | 4.6K | 4.2K |
| 2017 | $2.7K | $595.36 | 4.59x | $2.1K | $1.6M | 3.9K | 3.5K |
| 2018 | $2.9K | $617.38 | 4.65x | $2.3K | $1.9M | 3.6K | 3.3K |
| 2019 | $2.8K | $633.97 | 4.46x | $2.2K | $2.0M | 3.4K | 3.0K |
| 2020 | $2.6K | $649.83 | 4.06x | $2.0K | $1.6M | 2.9K | 2.6K |
| 2021 | $2.8K | $744.74 | 3.81x | $2.1K | $1.9M | 3.0K | 2.6K |
| 2022 | $3.6K | $1.2K | 2.94x | $2.3K | $1.9M | 2.6K | 2.3K |
| 2023 | $3.4K | $1.2K | 2.78x | $2.2K | $2.0M | 2.5K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 813 | $3.9M | $4.8K | 2.58x |
| 66984 | Removal of cataract with insertion of lens | 3.1K | $2.2M | $704.17 | 3.43x |
| 50590 | Shock wave crushing of kidney stones | 1.2K | $1.3M | $1.1K | 8.31x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 5.4K | $1.1M | $201.10 | 4.85x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 1.6K | $912.7K | $555.53 | 4.52x |
| 55700 | Biopsy of prostate gland | 1.5K | $823.2K | $550.66 | 2.18x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 3.5K | $816.9K | $230.58 | 9.00x |
| 45380 | Biopsy of large bowel using an endoscope | 2.0K | $562.2K | $278.20 | 7.46x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.4K | $393.9K | $286.86 | 7.23x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 848 | $367.3K | $433.10 | 4.16x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 26 | $352.9K | $13.6K | 1.51x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 1.2K | $329.2K | $266.78 | 7.78x |
| 52353 | Crushing of stone in urinary duct (ureter) using an endoscope | 230 | $307.5K | $1.3K | 3.30x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 352 | $304.0K | $863.74 | 2.91x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 211 | $283.2K | $1.3K | 3.29x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 987 | $259.8K | $263.17 | 7.88x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 343 | $256.0K | $746.36 | 3.36x |
| 52224 | Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope | 333 | $245.4K | $736.82 | 3.41x |
| 55874 | Injection of biodegradable material next to prostate | 103 | $244.4K | $2.4K | 2.11x |
| 52214 | Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope | 329 | $227.7K | $692.04 | 3.63x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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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