This provider's $10.2M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.39x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 349% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2015
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $8.3K | $737.77 | 11.26x | $7.6K | $414.9K | 727 | 650 |
| 2015 | $12.3K | $2.2K | 5.57x | $10.1K | $1.2M | 987 | 863 |
| 2016 | $12.3K | $1.1K | 11.44x | $11.2K | $738.3K | 998 | 912 |
| 2017 | $12.6K | $1.0K | 12.25x | $11.6K | $758.5K | 814 | 781 |
| 2018 | $13.0K | $1.2K | 11.18x | $11.9K | $901.6K | 974 | 931 |
| 2019 | $12.5K | $1.1K | 11.27x | $11.4K | $897.4K | 933 | 886 |
| 2020 | $13.1K | $1.2K | 10.79x | $11.9K | $870.6K | 890 | 861 |
| 2021 | $16.8K | $1.6K | 10.50x | $15.2K | $1.1M | 899 | 864 |
| 2022 | $22.2K | $2.0K | 11.09x | $20.2K | $1.5M | 898 | 863 |
| 2023 | $24.5K | $2.1K | 11.41x | $22.3K | $1.9M | 933 | 905 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 173 | $1.1M | $6.2K | 5.26x |
| 64721 | Release and/or relocation of median nerve of hand | 1.6K | $915.7K | $582.53 | 10.97x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 531 | $767.2K | $1.4K | 15.65x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 362 | $729.8K | $2.0K | 11.29x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 332 | $710.2K | $2.1K | 10.76x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 91 | $630.2K | $6.9K | 13.64x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 156 | $510.9K | $3.3K | 7.75x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 164 | $480.9K | $2.9K | 8.40x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 63 | $456.5K | $7.2K | 8.48x |
| 26055 | Incision of tendon covering | 998 | $432.4K | $433.23 | 14.96x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 186 | $364.3K | $2.0K | 11.67x |
| 27447 | Replacement of knee joint, both sides of knee | 51 | $356.0K | $7.0K | 12.97x |
| 29848 | Release of wrist ligament using an endoscope | 564 | $287.1K | $509.03 | 19.84x |
| 26123 | Removal of tissue of palm | 277 | $271.2K | $978.95 | 10.99x |
| 26480 | Transplant of tendon of hand | 330 | $256.7K | $777.88 | 13.15x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 18 | $245.6K | $13.6K | 2.16x |
| 25607 | Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware | 80 | $233.4K | $2.9K | 8.22x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 74 | $212.5K | $2.9K | 8.81x |
| 25447 | Removal of bone joints between wrist and fingers | 314 | $205.6K | $654.89 | 22.00x |
| 63655 | Implantation of spinal neurostimulator electrodes | 14 | $168.8K | $12.1K | 1.46x |
This provider submits charges 11.39 times higher than what Medicare actually pays.
A markup ratio of 11.39x means for every $100 Medicare pays, this provider initially charges $1139. 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 | โ Clear |
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | โ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | โ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | โ 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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