This provider's $5.1M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.2K | $564.44 | 3.84x | $1.6K | $447.1K | 774 | 640 |
| 2015 | $2.2K | $541.56 | 4.00x | $1.6K | $498.0K | 875 | 697 |
| 2016 | $2.2K | $525.84 | 4.11x | $1.6K | $491.1K | 860 | 703 |
| 2017 | $2.1K | $454.64 | 4.63x | $1.6K | $524.3K | 936 | 757 |
| 2018 | $2.1K | $476.80 | 4.43x | $1.6K | $466.2K | 849 | 687 |
| 2019 | $2.1K | $480.55 | 4.45x | $1.7K | $530.4K | 963 | 792 |
| 2020 | $2.2K | $561.95 | 3.86x | $1.6K | $513.5K | 846 | 655 |
| 2021 | $1.9K | $487.07 | 3.91x | $1.4K | $556.6K | 966 | 734 |
| 2022 | $1.8K | $430.69 | 4.26x | $1.4K | $544.3K | 1.2K | 887 |
| 2023 | $1.9K | $456.37 | 4.09x | $1.4K | $519.4K | 1.0K | 772 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.6K | $2.8M | $784.82 | 3.85x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.7K | $1.3M | $474.42 | 3.48x |
| 66982 | Removal of cataract with insertion of lens | 577 | $454.5K | $787.73 | 3.97x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.2K | $237.9K | $193.09 | 7.65x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 221 | $114.4K | $517.58 | 3.79x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 680 | $52.7K | $77.46 | 3.47x |
| 67950 | Enlargement of eyelid margin | 70 | $42.0K | $600.65 | 3.32x |
| 67900 | Repair of brow paralysis | 69 | $35.2K | $510.00 | 3.92x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 83 | $12.3K | $148.48 | 8.76x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 18 | $1.6K | $88.38 | 16.97x |
| 67221 | Destruction of vascular growth between retina and sclera | 11 | $1.4K | $122.90 | 16.27x |
This provider submits charges 3.95 times higher than what Medicare actually pays.
A markup ratio of 3.95x means for every $100 Medicare pays, this provider initially charges $395. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ Clear |
Share this provider's Medicare payment information
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