This provider's $7.9M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.18x is significantly above the specialty median of 6.1x.
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 | $4.1K | $651.34 | 6.24x | $3.4K | $772.2K | 1.4K | 1.1K |
| 2015 | $4.2K | $722.12 | 5.85x | $3.5K | $766.6K | 1.4K | 1.2K |
| 2016 | $4.3K | $624.11 | 6.81x | $3.6K | $805.8K | 1.5K | 1.2K |
| 2017 | $4.7K | $736.74 | 6.41x | $4.0K | $821.1K | 1.3K | 1.2K |
| 2018 | $7.0K | $1.2K | 5.72x | $5.7K | $950.5K | 1.1K | 1.0K |
| 2019 | $5.9K | $1.0K | 5.78x | $4.9K | $776.4K | 914 | 881 |
| 2020 | $5.0K | $871.72 | 5.75x | $4.1K | $517.5K | 674 | 646 |
| 2021 | $7.0K | $1.4K | 4.94x | $5.5K | $658.7K | 650 | 623 |
| 2022 | $8.4K | $1.7K | 4.91x | $6.7K | $897.6K | 789 | 755 |
| 2023 | $8.7K | $1.6K | 5.37x | $7.1K | $940.8K | 733 | 699 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64721 | Release and/or relocation of median nerve of hand | 2.1K | $1.2M | $570.34 | 7.17x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 559 | $1.0M | $1.9K | 5.25x |
| 26055 | Incision of tendon covering | 1.3K | $574.5K | $440.55 | 7.52x |
| 25447 | Removal of bone joints between wrist and fingers | 590 | $456.0K | $772.91 | 7.13x |
| 29881 | Removal of one knee cartilage using an endoscope | 453 | $447.8K | $988.63 | 5.94x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 57 | $406.6K | $7.1K | 4.61x |
| 26480 | Transplant of tendon of hand | 432 | $341.0K | $789.30 | 6.72x |
| 27446 | Repair of knee joint | 54 | $337.4K | $6.2K | 4.53x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 105 | $321.0K | $3.1K | 3.70x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 135 | $298.4K | $2.2K | 4.08x |
| 29880 | Removal of both knee cartilages using an endoscope | 271 | $267.5K | $987.07 | 5.98x |
| 27447 | Replacement of knee joint, both sides of knee | 32 | $228.7K | $7.1K | 4.58x |
| 62311 | Injections of substances into lower or sacral spine | 690 | $192.1K | $278.45 | 5.43x |
| 20680 | Removal of deep bone implant | 249 | $191.6K | $769.65 | 5.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 714 | $175.2K | $245.33 | 6.18x |
| 26160 | Removal of growth of tendon finger or hand | 277 | $142.8K | $515.52 | 7.09x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 185 | $128.7K | $695.49 | 8.74x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 290 | $122.0K | $420.83 | 11.14x |
| 25608 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware of 2 fragments | 37 | $113.5K | $3.1K | 3.58x |
| 29848 | Release of wrist ligament using an endoscope | 183 | $108.9K | $594.83 | 8.27x |
This provider submits charges 6.18 times higher than what Medicare actually pays.
A markup ratio of 6.18x means for every $100 Medicare pays, this provider initially charges $618. 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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