This provider's $14.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.27x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 58% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 203% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $4.2K | $762.20 | 5.55x | $3.5K | $989.7K | 2.0K | 1.4K |
| 2015 | $4.0K | $819.60 | 4.87x | $3.2K | $934.0K | 1.7K | 1.2K |
| 2016 | $4.2K | $802.47 | 5.19x | $3.4K | $925.0K | 1.6K | 1.2K |
| 2017 | $3.9K | $762.43 | 5.17x | $3.2K | $842.4K | 1.5K | 1.2K |
| 2018 | $4.7K | $844.91 | 5.52x | $3.8K | $860.1K | 1.6K | 1.1K |
| 2019 | $7.3K | $1.6K | 4.54x | $5.7K | $2.6M | 1.9K | 1.5K |
| 2020 | $8.6K | $1.9K | 4.52x | $6.7K | $2.1M | 1.4K | 1.1K |
| 2021 | $9.0K | $2.0K | 4.50x | $7.0K | $2.0M | 1.7K | 1.4K |
| 2022 | $8.9K | $2.0K | 4.37x | $6.8K | $2.0M | 1.7K | 1.4K |
| 2023 | $6.6K | $1.2K | 5.65x | $5.4K | $1.6M | 1.6K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 131 | $2.4M | $18.6K | 2.73x |
| 27447 | Repair of knee joint | 284 | $2.0M | $7.0K | 6.53x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 702 | $1.3M | $1.9K | 3.04x |
| 27446 | Repair of knee joint | 144 | $888.6K | $6.2K | 4.46x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 244 | $876.3K | $3.6K | 6.32x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 846 | $736.3K | $870.35 | 7.09x |
| 29880 | Removal of both knee cartilages using an endoscope | 645 | $652.8K | $1.0K | 5.04x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.3K | $541.0K | $234.22 | 8.05x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 72 | $506.4K | $7.0K | 5.84x |
| 62311 | Injections of substances into lower or sacral spine | 1.8K | $503.8K | $280.49 | 6.64x |
| 29881 | Removal of one knee cartilage using an endoscope | 358 | $364.1K | $1.0K | 5.01x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 43 | $346.8K | $8.1K | 4.26x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 1.3K | $295.0K | $227.26 | 8.57x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 120 | $274.4K | $2.3K | 2.76x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 439 | $227.6K | $518.39 | 4.73x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 239 | $218.5K | $914.35 | 3.78x |
| 64721 | Release and/or relocation of median nerve of hand | 297 | $189.7K | $638.74 | 5.17x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 667 | $188.6K | $282.78 | 7.39x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 743 | $183.0K | $246.25 | 5.20x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 174 | $180.6K | $1.0K | 3.94x |
This provider submits charges 5.27 times higher than what Medicare actually pays.
A markup ratio of 5.27x means for every $100 Medicare pays, this provider initially charges $527. 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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