This provider's $21.6M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 522% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 334% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $24.2K | $9.5K | 2.55x | $14.7K | $599.6K | 63 | 4 |
| 2018 | $20.8K | $8.2K | 2.54x | $12.6K | $2.6M | 317 | 8 |
| 2019 | $20.8K | $8.4K | 2.47x | $12.4K | $2.9M | 339 | 6 |
| 2020 | $19.0K | $7.6K | 2.50x | $11.4K | $3.1M | 410 | 8 |
| 2021 | $11.2K | $4.4K | 2.57x | $6.9K | $4.2M | 968 | 16 |
| 2022 | $10.6K | $4.0K | 2.66x | $6.6K | $4.5M | 1.1K | 15 |
| 2023 | $10.2K | $3.7K | 2.73x | $6.5K | $3.7M | 997 | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion of implantable defibrillator system | 338 | $6.6M | $19.5K | 2.56x |
| 33208 | Insertion of pacemaker and upper and lower heart chamber electrode | 541 | $3.1M | $5.8K | 2.52x |
| 33264 | Removal and replacement of multiple lead defibrillator | 147 | $2.8M | $19.3K | 2.59x |
| 33285 | Insertion of heart rhythm monitor under skin | 454 | $2.3M | $5.0K | 2.26x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 394 | $2.2M | $5.6K | 2.53x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 269 | $1.2M | $4.6K | 2.57x |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 865 | $811.0K | $937.55 | 3.99x |
| 33263 | Removal and replacement of dual lead defibrillator | 43 | $614.2K | $14.3K | 2.53x |
| 33282 | Implantation patient-activated heart monitoring device | 100 | $459.2K | $4.6K | 2.51x |
| 33207 | Insertion of pacemaker and lower heart chamber electrode | 66 | $374.6K | $5.7K | 2.51x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker | 25 | $211.7K | $8.5K | 2.68x |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 216 | $204.2K | $945.53 | 2.94x |
| 33233 | Removal of permanent pacemaker pulse generator | 49 | $187.0K | $3.8K | 1.81x |
| 93460 | Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 143 | $147.6K | $1.0K | 2.87x |
| 93456 | Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist | 116 | $119.7K | $1.0K | 2.84x |
| 93459 | Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist | 75 | $74.9K | $998.55 | 2.99x |
| 33286 | Removal of heart rhythm monitor from under the skin | 265 | $59.6K | $225.00 | 6.02x |
| 93455 | Insertion of tube in bypass graft for diagnosis with review by radiologist | 34 | $31.1K | $914.57 | 3.19x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 26 | $26.0K | $999.04 | 2.40x |
| 93451 | Insertion of tube in right heart chambers for measurement | 12 | $12.9K | $1.1K | 1.97x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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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