This provider's $13.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
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 | $907.68 | $485.62 | 1.87x | $422.06 | $985.0K | 3.1K | 3.0K |
| 2015 | $941.35 | $490.81 | 1.92x | $450.54 | $1.2M | 3.7K | 3.4K |
| 2016 | $735.99 | $410.58 | 1.79x | $325.41 | $1.3M | 4.1K | 3.7K |
| 2017 | $873.37 | $450.67 | 1.94x | $422.70 | $1.3M | 4.2K | 3.9K |
| 2018 | $790.06 | $452.47 | 1.75x | $337.59 | $1.3M | 4.2K | 4.0K |
| 2019 | $722.10 | $404.12 | 1.79x | $317.98 | $1.5M | 4.7K | 4.5K |
| 2020 | $785.42 | $439.55 | 1.79x | $345.87 | $1.1M | 3.6K | 3.5K |
| 2021 | $704.15 | $423.66 | 1.66x | $280.49 | $1.4M | 4.3K | 4.2K |
| 2022 | $746.00 | $432.30 | 1.73x | $313.70 | $1.3M | 3.8K | 3.7K |
| 2023 | $1.1K | $633.47 | 1.73x | $462.72 | $1.7M | 3.6K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 7.3K | $2.7M | $372.73 | 1.81x |
| 45380 | Biopsy of large bowel using an endoscope | 9.1K | $2.6M | $288.37 | 2.34x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 7.2K | $1.6M | $220.29 | 3.06x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.6K | $895.2K | $349.56 | 1.93x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.2K | $527.4K | $236.91 | 2.15x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.4K | $488.6K | $347.50 | 1.94x |
| 49505 | Repair of groin hernia patient age 5 years or older | 466 | $485.3K | $1.0K | 1.33x |
| 33285 | Insertion of heart rhythm monitor under skin | 77 | $411.1K | $5.3K | 1.94x |
| 43249 | Balloon dilation of esophagus using an endoscope | 644 | $316.7K | $491.71 | 1.39x |
| 64721 | Release and/or relocation of median nerve of hand | 427 | $251.7K | $589.53 | 1.33x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 445 | $247.9K | $557.09 | 1.39x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 833 | $230.4K | $276.64 | 2.45x |
| 43450 | Dilation of esophagus | 770 | $193.2K | $250.88 | 2.02x |
| 45384 | Removal of polyps or growths in large bowel using an endoscope | 633 | $179.6K | $283.70 | 2.39x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 746 | $175.1K | $234.74 | 2.17x |
| 26160 | Removal of growth of tendon finger or hand | 350 | $159.6K | $456.02 | 1.71x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 167 | $144.9K | $867.89 | 1.28x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 489 | $110.5K | $225.97 | 2.24x |
| 45381 | Injections of large bowel using an endoscope | 522 | $108.1K | $207.07 | 3.26x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 74 | $104.9K | $1.4K | 1.74x |
This provider submits charges 2.1 times higher than what Medicare actually pays.
A markup ratio of 2.1x means for every $100 Medicare pays, this provider initially charges $210. 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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