This provider's $7.6M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.87x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 670% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 200% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $8.9K | $6.8K | 1.31x | $2.1K | $277.9K | 40 | 37 |
| 2019 | $3.8K | $3.0K | 1.29x | $861.11 | $832.8K | 266 | 264 |
| 2020 | $34.0K | $2.4K | 14.38x | $31.6K | $1.1M | 416 | 399 |
| 2021 | $33.1K | $2.3K | 14.62x | $30.8K | $1.6M | 617 | 592 |
| 2022 | $25.7K | $2.1K | 12.00x | $23.5K | $1.6M | 684 | 620 |
| 2023 | $25.0K | $2.2K | 11.16x | $22.8K | $2.1M | 870 | 813 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 219 | $3.1M | $14.1K | 4.61x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 287 | $1.1M | $3.7K | 12.98x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 132 | $503.8K | $3.8K | 12.88x |
| 52648 | Laser vaporization of prostate including control of bleeding using an endoscope | 264 | $432.6K | $1.6K | 15.95x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 248 | $399.4K | $1.6K | 14.53x |
| 57282 | Vaginal repair of pelvic ligaments | 174 | $380.6K | $2.2K | 12.61x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 214 | $351.5K | $1.6K | 17.39x |
| 57288 | Creation of sling around bladder canal (urethra) to control leakage | 173 | $312.0K | $1.8K | 17.40x |
| 57265 | Repair of herniation of rectum and bladder into vaginal wall | 264 | $251.3K | $952.02 | 25.89x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 125 | $204.6K | $1.6K | 17.46x |
| C1747 | Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable) | 40 | $199.7K | $5.0K | 1.80x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 116 | $82.9K | $715.04 | 28.58x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 68 | $73.4K | $1.1K | 18.92x |
| 55874 | Injection of biodegradable material next to prostate | 15 | $41.4K | $2.8K | 19.13x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 65 | $39.9K | $613.33 | 19.13x |
| 74420 | Imaging of urinary tract | 229 | $34.3K | $149.61 | 18.47x |
| 51715 | Injection of implant material beneath lining of bladder and/or urethra using an endoscope | 21 | $33.2K | $1.6K | 17.00x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 23 | $25.0K | $1.1K | 10.79x |
| 52318 | Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm | 24 | $21.8K | $907.62 | 22.52x |
| 57120 | Suture closure of the vagina and vaginal opening | 25 | $18.9K | $755.71 | 36.49x |
This provider submits charges 10.87 times higher than what Medicare actually pays.
A markup ratio of 10.87x means for every $100 Medicare pays, this provider initially charges $1087. 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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