OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Pacaya Bay Surgery Center Llc
๐Ÿ”ช
Organization

Pacaya Bay Surgery Center Llc

NPI: 1942454095
Fort Myers, FL
10 years of data
Ambulatory Surgical Center
$5.0M
Total Payments
6.5K
Beneficiaries
7.8K
Services
8.52x
Markup Ratio

Peer Comparison

93th
percentile in specialty
This provider$5.0M
Specialty median$657.1K

๐Ÿ“‹ Key Findings

1Billed $5.0M over 10 years
28.52x markup ratio (above median)
393th percentile in Ambulatory Surgical Center by payments
4Payments surged 56% in 2021
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.0M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.

Their average markup ratio of 8.52x is significantly above the specialty median of 6.1x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 56% in 2021

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$5.0K$482.4010.36x$4.5K$448.1K776619
2015$5.4K$522.6810.30x$4.9K$498.1K806671
2016$5.4K$583.069.31x$4.8K$517.3K817688
2017$5.2K$550.979.46x$4.7K$552.9K891730
2018$5.2K$544.339.62x$4.7K$472.4K762622
2019$5.2K$546.779.43x$4.6K$481.2K780617
2020$5.0K$600.768.36x$4.4K$349.7K521426
2021$4.8K$556.478.57x$4.2K$543.9K782670
2022$4.8K$609.757.92x$4.2K$541.3K777716
2023$4.6K$511.128.99x$4.1K$551.8K843757

Top Procedures (20)

14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)โš  6.0x markup
$1.4M
1.3K services$1.1K/svc5.95x markup
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  8.8x markup
$852.0K
1.4K services$610.77/svc8.84x markup
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lipsโš  9.8x markup
$689.3K
1.2K services$574.44/svc9.75x markup
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legsโš  8.5x markup
$464.0K
761 services$609.75/svc8.53x markup
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legsโš  9.1x markup
$374.2K
610 services$613.37/svc9.13x markup
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feetโš  9.6x markup
$287.8K
475 services$605.96/svc9.57x markup
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)โš  9.4x markup
$287.2K
543 services$528.90/svc9.44x markup
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lipsโš  13.3x markup
$201.6K
447 services$450.90/svc13.30x markup
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunkโš  8.2x markup
$102.8K
169 services$608.43/svc8.22x markup
15732Muscle flap wound repair at head and neckโš  8.0x markup
$90.6K
103 services$879.26/svc8.04x markup
14001Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunkโš  8.6x markup
$82.3K
131 services$628.59/svc8.59x markup
15733Creation of flap graft to head and/or neckโš  5.0x markup
$59.6K
50 services$1.2K/svc4.99x markup
15004Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)โš  25.5x markup
$34.0K
347 services$97.97/svc25.52x markup
15220Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legsโš  15.3x markup
$28.0K
86 services$326.08/svc15.33x markup
29848Release of wrist ligament using an endoscopeโš  8.6x markup
$7.8K
15 services$521.91/svc8.62x markup
11643Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lipsโš  18.8x markup
$6.2K
58 services$106.30/svc18.82x markup
11642Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lipsโš  23.5x markup
$5.9K
69 services$84.99/svc23.53x markup
11644Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cmโš  6.2x markup
$5.0K
14 services$356.90/svc6.16x markup
25115Extensive removal of growth of soft tissue structures in palm side of wristโš  16.1x markup
$4.2K
15 services$279.59/svc16.09x markup
15002Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)โš  10.2x markup
$3.8K
13 services$293.59/svc10.22x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
14301Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)1.3K$1.4M$1.1K5.95x
14040Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet1.4K$852.0K$610.778.84x
14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1.2K$689.3K$574.449.75x
14020Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs761$464.0K$609.758.53x
14021Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs610$374.2K$613.379.13x
14041Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet475$287.8K$605.969.57x
15260Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)543$287.2K$528.909.44x
14061Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips447$201.6K$450.9013.30x
14000Tissue transfer repair of wound (10 sq centimeters or less) of the trunk169$102.8K$608.438.22x
15732Muscle flap wound repair at head and neck103$90.6K$879.268.04x
14001Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk131$82.3K$628.598.59x
15733Creation of flap graft to head and/or neck50$59.6K$1.2K4.99x
15004Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children)347$34.0K$97.9725.52x
15220Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs86$28.0K$326.0815.33x
29848Release of wrist ligament using an endoscope15$7.8K$521.918.62x
11643Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips58$6.2K$106.3018.82x
11642Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips69$5.9K$84.9923.53x
11644Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm14$5.0K$356.906.16x
25115Extensive removal of growth of soft tissue structures in palm side of wrist15$4.2K$279.5916.09x
15002Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)13$3.8K$293.5910.22x

Markup Analysis

Charge-to-Payment Ratio

8.52x

This provider submits charges 8.52 times higher than what Medicare actually pays.

What This Means

A markup ratio of 8.52x means for every $100 Medicare pays, this provider initially charges $852. This is higher than the national average.

Location

Fort Myers, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulatory Surgical Center providers in FL for peer comparison.

Pacaya Bay Surgery Center Llc (you)
$5.0M
Laser & Surgical Services At Center For Sight Llc
$47.1M
St Lukes Surgical Center Inc
$39.9M
West Florida Medical Center Clinic Pa
$36.5M
Murdock Ambulatory Surgery Center Llc
$36.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Laser & Surgical Services At Center For Sight LlcSarasota, FL$47.1Mโœ“ Clear
St Lukes Surgical Center IncTarpon Springs, FL$39.9Mโœ“ Clear
West Florida Medical Center Clinic PaPensacola, FL$36.5Mโœ“ Clear
Murdock Ambulatory Surgery Center LlcPort Charlotte, FL$36.2Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in FL โ†’
Specialty
All Ambulatory Surgical Center providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data