This provider's $20.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.02x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 177% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $6.1K | $1.2K | 5.17x | $4.9K | $950.9K | 947 | 878 |
| 2015 | $5.9K | $1.1K | 5.39x | $4.8K | $1.1M | 906 | 851 |
| 2016 | $7.4K | $1.9K | 3.82x | $5.5K | $1.4M | 897 | 824 |
| 2017 | $8.9K | $2.3K | 3.89x | $6.6K | $1.8M | 1.1K | 1.0K |
| 2018 | $10.2K | $2.5K | 4.05x | $7.7K | $2.7M | 1.1K | 1.1K |
| 2019 | $12.0K | $2.1K | 5.63x | $9.8K | $2.5M | 1.2K | 1.1K |
| 2020 | $13.0K | $2.4K | 5.45x | $10.6K | $2.9M | 931 | 900 |
| 2021 | $11.1K | $2.0K | 5.64x | $9.2K | $2.3M | 986 | 960 |
| 2022 | $13.4K | $2.2K | 6.12x | $11.2K | $2.6M | 1.2K | 1.2K |
| 2023 | $11.9K | $2.1K | 5.57x | $9.7K | $2.6M | 1.2K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 69930 | Implantation of cochlear device | 308 | $7.1M | $23.0K | 2.69x |
| 61886 | Insertion or replacement of brain neurostimulator generator or receiver | 250 | $4.6M | $18.3K | 3.63x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 122 | $2.2M | $17.8K | 3.22x |
| 61885 | Insertion or replacement of brain neurostimulator generator or receiver | 80 | $1.0M | $12.7K | 2.91x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 348 | $387.6K | $1.1K | 7.32x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 413 | $366.3K | $886.97 | 7.67x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 104 | $363.6K | $3.5K | 4.20x |
| 49505 | Repair of groin hernia patient age 5 years or older | 261 | $273.0K | $1.0K | 9.23x |
| 31276 | Exploration of nasal sinus using an endoscope | 254 | $266.8K | $1.1K | 6.59x |
| 69714 | Temporal bone implantation of cochlear stimulating system, accessed through the skin | 36 | $228.9K | $6.4K | 2.76x |
| 69631 | Repair of eardrum and ear canal with opening to ear bones | 128 | $215.2K | $1.7K | 6.84x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 119 | $212.0K | $1.8K | 4.75x |
| 30520 | Reshaping of nasal cartilage | 403 | $202.9K | $503.50 | 9.22x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 684 | $187.3K | $273.82 | 21.52x |
| 30140 | Removal of nasal air passage | 415 | $171.6K | $413.45 | 12.60x |
| 47563 | Removal of gallbladder with X-ray study of bile ducts using endoscope | 99 | $169.3K | $1.7K | 7.23x |
| 45380 | Biopsy of large bowel using an endoscope | 505 | $166.7K | $330.08 | 11.52x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 435 | $156.7K | $360.14 | 12.53x |
| 63655 | Implantation of spinal neurostimulator electrodes | 13 | $153.6K | $11.8K | 2.16x |
| 60500 | Removal or exploration of parathyroid glands | 86 | $145.7K | $1.7K | 5.84x |
This provider submits charges 5.02 times higher than what Medicare actually pays.
A markup ratio of 5.02x means for every $100 Medicare pays, this provider initially charges $502. 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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