This provider's $6.4M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.1x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1599% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1060% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $9.1K | $896.64 | 10.13x | $8.2K | $146.0K | 191 | 188 |
| 2021 | $17.2K | $2.4K | 7.12x | $14.8K | $1.7M | 773 | 748 |
| 2022 | $16.1K | $1.9K | 8.57x | $14.2K | $2.1M | 1.4K | 1.2K |
| 2023 | $17.5K | $2.0K | 8.84x | $15.6K | $2.5M | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 503 | $3.4M | $6.8K | 7.73x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 134 | $923.5K | $6.9K | 7.74x |
| 27446 | Repair of knee joint, lower or upper part of joint, inside or outside area | 122 | $816.1K | $6.7K | 6.38x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 259 | $462.8K | $1.8K | 8.82x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 746 | $213.8K | $286.53 | 12.90x |
| 23430 | Anchoring of biceps tendon | 98 | $190.7K | $1.9K | 8.23x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 81 | $181.0K | $2.2K | 6.62x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 304 | $78.1K | $256.75 | 11.56x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 81 | $53.8K | $664.55 | 26.14x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 78 | $39.6K | $507.56 | 12.54x |
| 29881 | Removal of knee cartilage using an endoscope | 27 | $27.6K | $1.0K | 8.49x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 46 | $11.0K | $239.55 | 16.81x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 53 | $10.9K | $206.56 | 12.47x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 38 | $10.5K | $275.44 | 10.82x |
| 29822 | Limited removal of abnormal shoulder joint tissue using endoscope | 12 | $9.7K | $809.68 | 12.99x |
| 27570 | Manipulation of knee joint under anesthesia | 11 | $6.1K | $555.25 | 18.85x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 36 | $2.3K | $65.12 | 20.58x |
| 64450 | Injection of anesthetic agent and/or steroid into other peripheral nerve or branch | 101 | $2.3K | $22.29 | 81.51x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 1.0K | $1.1K | $1.07 | 6.11x |
This provider submits charges 8.1 times higher than what Medicare actually pays.
A markup ratio of 8.1x means for every $100 Medicare pays, this provider initially charges $810. 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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