This provider's $4.4M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.85x is significantly above the specialty median of 6.1x.
71% of their billing comes from a single procedure code (14301 — Tissue transfer repair of wound (30.1 to 60.0 sq centimeters)).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $7.8K | $460.84 | 16.96x | $7.4K | $1.1M | 1.6K | 1.4K |
| 2022 | $2.6K | $446.83 | 5.85x | $2.2K | $1.8M | 2.8K | 2.4K |
| 2023 | $3.0K | $467.12 | 6.42x | $2.5K | $1.6M | 2.4K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 2.5K | $3.1M | $1.3K | 3.82x |
| 15002 | Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) | 1.6K | $555.5K | $355.17 | 7.74x |
| 15004 | Preparation 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) | 1.7K | $183.2K | $110.05 | 25.68x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 250 | $141.0K | $563.86 | 7.29x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 156 | $93.0K | $595.97 | 9.54x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 105 | $60.5K | $575.81 | 8.17x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 101 | $57.7K | $571.65 | 7.27x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 70 | $34.0K | $485.23 | 10.33x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 74 | $30.6K | $413.38 | 9.46x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 71 | $26.7K | $375.90 | 10.49x |
| 14001 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk | 70 | $26.7K | $380.91 | 9.72x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 45 | $19.1K | $425.21 | 10.21x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 91 | $17.5K | $192.81 | 14.81x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 73 | $15.0K | $205.16 | 14.99x |
| 14020 | Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less | 11 | $4.2K | $379.32 | 6.09x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 17 | $3.2K | $188.17 | 15.16x |
This provider submits charges 5.85 times higher than what Medicare actually pays.
A markup ratio of 5.85x means for every $100 Medicare pays, this provider initially charges $585. 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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