This provider's $26.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 139% 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 | $719.55 | $464.37 | 1.55x | $255.18 | $1.6M | 3.4K | 12 |
| 2015 | $730.11 | $468.60 | 1.56x | $261.51 | $1.7M | 3.7K | 14 |
| 2016 | $714.79 | $465.75 | 1.53x | $249.04 | $1.9M | 4.1K | 15 |
| 2017 | $726.14 | $468.04 | 1.55x | $258.10 | $2.1M | 4.5K | 17 |
| 2018 | $630.77 | $403.24 | 1.56x | $227.53 | $2.3M | 5.7K | 19 |
| 2019 | $559.75 | $354.72 | 1.58x | $205.03 | $2.7M | 7.5K | 21 |
| 2020 | $581.60 | $358.61 | 1.62x | $222.99 | $2.8M | 7.9K | 20 |
| 2021 | $95.65 | $57.75 | 1.66x | $37.90 | $3.8M | 65.7K | 25 |
| 2022 | $145.47 | $90.07 | 1.62x | $55.40 | $3.7M | 40.9K | 26 |
| 2023 | $253.64 | $150.91 | 1.68x | $102.73 | $3.8M | 25.3K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 14.3K | $10.6M | $740.20 | 1.37x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 10.0K | $7.1M | $714.35 | 1.47x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 8.1K | $1.4M | $175.11 | 2.71x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 16.2K | $1.3M | $79.19 | 1.90x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 10.5K | $1.1M | $104.09 | 1.44x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.6K | $883.9K | $566.21 | 2.03x |
| J2778 | Injection, ranibizumab, 0.1 mg | 2.5K | $685.3K | $270.67 | 1.66x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 567 | $403.9K | $712.31 | 1.48x |
| 0191T | Internal insertion of eye fluid drainage device | 193 | $367.6K | $1.9K | 1.80x |
| 67028 | Injection of drug into eye | 8.0K | $290.1K | $36.07 | 2.78x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 592 | $251.7K | $425.13 | 2.02x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 524 | $193.1K | $368.49 | 1.40x |
| 67966 | Removal of over 1/4 of eyelid margin and repair of eyelid | 368 | $154.4K | $419.64 | 2.37x |
| 65855 | Laser repair to improve eye fluid flow | 1.3K | $131.9K | $100.15 | 2.87x |
| 65820 | Incision to improve eye fluid flow | 114 | $130.2K | $1.1K | 1.72x |
| 65400 | Removal of growth of cornea | 370 | $108.0K | $291.83 | 2.43x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 43 | $98.0K | $2.3K | 1.81x |
| V2785 | Processing, preserving and transporting corneal tissue | 28 | $95.4K | $3.4K | 1.83x |
| 68326 | Reconstruction of conjunctiva with graft from outer eye or rearrangement | 109 | $91.6K | $840.59 | 1.67x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 64 | $87.8K | $1.4K | 1.42x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. This is lower 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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