This provider's $13.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 94% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2020 | $1.2K | $648.80 | 1.83x | $536.97 | $2.4M | 3.7K | 16 |
| 2021 | $1.1K | $620.27 | 1.76x | $468.96 | $3.1M | 5.1K | 20 |
| 2022 | $1.2K | $636.32 | 1.81x | $514.53 | $3.5M | 5.6K | 21 |
| 2023 | $1.6K | $960.32 | 1.64x | $612.34 | $4.6M | 4.8K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 218 | $3.9M | $17.8K | 1.44x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 917 | $3.1M | $3.4K | 1.47x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 3.4K | $873.8K | $258.08 | 2.20x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 1.8K | $807.8K | $458.73 | 2.58x |
| 22869 | Placement of stabilizing device to lower spine level | 94 | $712.7K | $7.6K | 1.33x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 2.9K | $703.5K | $240.74 | 2.38x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 175 | $685.9K | $3.9K | 1.28x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.4K | $463.4K | $196.84 | 2.37x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 1.9K | $441.8K | $231.08 | 2.10x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 30 | $419.6K | $14.0K | 1.29x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 120 | $398.4K | $3.3K | 1.96x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 561 | $317.7K | $566.23 | 2.11x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.0K | $295.4K | $290.78 | 1.93x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 435 | $213.6K | $491.08 | 2.51x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 590 | $137.0K | $232.29 | 2.10x |
| 64451 | Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance | 606 | $115.4K | $190.42 | 2.41x |
| 64624 | Destruction of nerve branches of knee using imaging guidance | 78 | $42.5K | $544.89 | 2.20x |
| 64420 | Injection of anesthetic agent and/or steroid into rib nerve | 84 | $18.5K | $220.51 | 2.26x |
| 64454 | Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance | 150 | $15.6K | $104.27 | 4.32x |
| 64445 | Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve) | 282 | $10.1K | $35.90 | 11.78x |
This provider submits charges 1.74 times higher than what Medicare actually pays.
A markup ratio of 1.74x means for every $100 Medicare pays, this provider initially charges $174. This is lower 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 | โ 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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