This provider's $7.1M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.21x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 55727% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1922% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $1.7K | $239.00 | 7.22x | $1.5K | $3.1K | 13 | 13 |
| 2018 | $2.0K | $326.75 | 6.12x | $1.7K | $31.4K | 98 | 95 |
| 2019 | $8.2K | $1.7K | 4.88x | $6.5K | $635.8K | 432 | 419 |
| 2020 | $8.3K | $1.5K | 5.36x | $6.7K | $1.4M | 929 | 876 |
| 2021 | $6.3K | $1.5K | 4.27x | $4.8K | $1.7M | 1.3K | 1.2K |
| 2022 | $13.7K | $1.5K | 9.43x | $12.3K | $1.6M | 1.2K | 1.1K |
| 2023 | $7.9K | $1.2K | 6.43x | $6.7K | $1.7M | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 179 | $2.4M | $13.5K | 4.61x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 211 | $1.1M | $5.3K | 6.29x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 222 | $782.4K | $3.5K | 6.69x |
| 55700 | Biopsy of prostate gland | 660 | $395.3K | $598.99 | 7.28x |
| 60500 | Removal or exploration of parathyroid glands | 174 | $320.9K | $1.8K | 6.51x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 86 | $312.7K | $3.6K | 4.83x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 165 | $251.3K | $1.5K | 6.68x |
| 66984 | Removal of cataract with insertion of lens | 236 | $166.9K | $707.03 | 7.44x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 168 | $146.0K | $869.03 | 8.05x |
| 50590 | Shock wave crushing of kidney stones | 132 | $131.0K | $992.40 | 12.00x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 197 | $114.9K | $583.07 | 7.01x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 415 | $101.1K | $243.52 | 10.79x |
| 45380 | Biopsy of large bowel using an endoscope | 240 | $87.1K | $362.78 | 6.77x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 209 | $85.1K | $407.20 | 6.34x |
| 51715 | Injection of implant material beneath lining of bladder and/or bladder canal (urethra) using endoscope | 44 | $63.1K | $1.4K | 7.70x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 156 | $55.4K | $355.40 | 5.24x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 36 | $53.9K | $1.5K | 6.47x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 144 | $52.7K | $366.03 | 5.62x |
| 52204 | Biopsy of the bladder using an endoscope | 87 | $50.5K | $580.06 | 6.84x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 16 | $47.4K | $3.0K | 3.01x |
This provider submits charges 6.21 times higher than what Medicare actually pays.
A markup ratio of 6.21x means for every $100 Medicare pays, this provider initially charges $621. 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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