This provider's $19.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.56x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 86% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 494% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $26.5K | $6.9K | 3.82x | $19.6K | $505.2K | 84 | 84 |
| 2016 | $43.3K | $9.6K | 4.51x | $33.7K | $3.0M | 369 | 368 |
| 2017 | $42.1K | $9.3K | 4.51x | $32.7K | $3.4M | 457 | 457 |
| 2018 | $42.0K | $9.5K | 4.44x | $32.5K | $3.8M | 487 | 487 |
| 2019 | $44.8K | $8.5K | 5.26x | $36.3K | $3.6M | 549 | 546 |
| 2020 | $56.9K | $8.3K | 6.86x | $48.6K | $2.0M | 333 | 332 |
| 2021 | $57.4K | $8.8K | 6.50x | $48.5K | $1.5M | 246 | 245 |
| 2022 | $59.9K | $9.8K | 6.13x | $50.1K | $1.2M | 143 | 143 |
| 2023 | $34.5K | $2.8K | 12.44x | $31.7K | $939.0K | 324 | 288 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 221 | $4.7M | $21.2K | 4.40x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 561 | $3.4M | $6.1K | 6.62x |
| 33264 | Removal and replacement of defibrillator pulse generator | 155 | $3.1M | $20.1K | 4.75x |
| 33285 | Insertion of heart rhythm monitor under skin | 449 | $2.3M | $5.2K | 5.14x |
| 33282 | Implantation patient-activated heart monitoring device | 455 | $2.2M | $4.8K | 4.29x |
| 33229 | Removal and replacement of multiple lead permanent pacemaker pulse generator | 171 | $1.7M | $9.8K | 4.91x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 186 | $1.1M | $6.0K | 7.44x |
| 33263 | Removal and replacement of defibrillator pulse generator | 25 | $369.7K | $14.8K | 4.68x |
| 33207 | Insertion or replacement of permanent pacemaker and lower chamber electrodes | 58 | $354.2K | $6.1K | 5.10x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 32 | $156.4K | $4.9K | 12.38x |
| 33233 | Removal of permanent pacemaker pulse generator | 42 | $145.3K | $3.5K | 3.32x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 129 | $134.0K | $1.0K | 37.07x |
| 33286 | Removal of heart rhythm monitor from under skin | 257 | $60.9K | $237.11 | 30.86x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 163 | $44.7K | $274.02 | 10.17x |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 33 | $36.9K | $1.1K | 13.69x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 33 | $23.0K | $695.90 | 7.38x |
| C7523 | Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ve | 11 | $14.4K | $1.3K | 10.10x |
| 93460 | Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist | 11 | $12.7K | $1.2K | 42.38x |
This provider submits charges 5.56 times higher than what Medicare actually pays.
A markup ratio of 5.56x means for every $100 Medicare pays, this provider initially charges $556. 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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