This provider's $9.1M in total Medicare payments ranks in the 96th 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 83% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 132% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $10.4K | $502.76 | 20.59x | $9.8K | $545.8K | 1.8K | 1.2K |
| 2017 | $11.7K | $2.2K | 5.42x | $9.5K | $1.3M | 2.6K | 1.7K |
| 2018 | $6.1K | $1.6K | 3.76x | $4.5K | $1.4M | 3.0K | 2.0K |
| 2019 | $6.0K | $1.5K | 3.97x | $4.5K | $1.3M | 3.4K | 2.2K |
| 2020 | $4.6K | $866.21 | 5.27x | $3.7K | $1.2M | 3.1K | 2.1K |
| 2021 | $3.6K | $507.05 | 7.07x | $3.1K | $987.2K | 3.0K | 2.0K |
| 2022 | $6.0K | $1.5K | 3.89x | $4.4K | $1.4M | 3.3K | 2.3K |
| 2023 | $3.7K | $524.99 | 7.10x | $3.2K | $998.1K | 3.1K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 6.8K | $1.8M | $261.88 | 15.79x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 2.4K | $1.3M | $563.58 | 12.16x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 75 | $1.1M | $14.7K | 2.86x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 308 | $1.1M | $3.5K | 2.49x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 3.4K | $804.8K | $237.40 | 11.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.5K | $616.4K | $249.56 | 18.22x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 2.3K | $533.0K | $236.55 | 11.22x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 865 | $485.9K | $561.70 | 10.29x |
| C1822 | Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system | 17 | $324.1K | $19.1K | 2.05x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.2K | $250.3K | $204.34 | 20.29x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 946 | $245.3K | $259.28 | 15.28x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 22 | $171.7K | $7.8K | 3.14x |
| 62311 | Injections of substances into lower or sacral spine | 380 | $98.3K | $258.63 | 39.30x |
| 64624 | Destruction of genicular nerve branches of knee by injection using imaging guidance | 144 | $79.4K | $551.59 | 3.82x |
| 62310 | Injections of substances into upper or middle spine | 218 | $56.0K | $257.05 | 40.61x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 75 | $45.7K | $608.95 | 3.76x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 907 | $19.9K | $21.89 | 162.04x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 59 | $17.2K | $291.35 | 11.74x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 63 | $16.8K | $266.22 | 12.62x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 133 | $16.0K | $120.04 | 17.60x |
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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ 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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