This provider's $4.3M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.98x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 656% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 306% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $2.1K | $312.87 | 6.83x | $1.8K | $232.6K | 711 | 707 |
| 2021 | $2.7K | $492.07 | 5.57x | $2.3K | $944.7K | 2.7K | 2.6K |
| 2022 | $6.8K | $1.4K | 4.99x | $5.4K | $1.3M | 2.8K | 2.7K |
| 2023 | $8.5K | $1.5K | 5.57x | $6.9K | $1.8M | 3.1K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45380 | Biopsy of large bowel using an endoscope | 2.9K | $1.1M | $364.62 | 8.35x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 53 | $783.0K | $14.8K | 4.75x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.4K | $604.8K | $424.09 | 7.62x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.6K | $384.1K | $235.06 | 18.42x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 95 | $352.0K | $3.7K | 2.97x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 858 | $335.6K | $391.12 | 7.90x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 610 | $237.5K | $389.27 | 6.79x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 587 | $164.8K | $280.71 | 11.34x |
| 43249 | Balloon dilation of esophagus using an endoscope | 206 | $114.7K | $556.82 | 5.87x |
| 64581 | Insertion of sacral nerve neurostimulator electrode | 16 | $62.2K | $3.9K | 3.77x |
| 45331 | Biopsy of large bowel using an endoscope | 115 | $33.4K | $290.59 | 6.58x |
| 45381 | Injections of large bowel using an endoscope | 98 | $29.6K | $301.85 | 8.51x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 108 | $27.4K | $254.15 | 9.84x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 229 | $25.1K | $109.79 | 18.88x |
| 43450 | Dilation of esophagus unguided | 91 | $24.2K | $265.99 | 7.60x |
| 46060 | Incision and drainage of abscess in wall of rectum or between rectum and muscle with incision or removal of abnormal drainage tract | 12 | $10.6K | $881.25 | 5.59x |
| 46221 | Removal of external hemorrhoids by rubber banding | 108 | $10.1K | $93.82 | 21.66x |
| 46505 | Injection of agent to destroy nerve to internal sphincter of anus | 19 | $7.8K | $408.63 | 4.90x |
| 45388 | Destruction of tissue abnormalities, tumors, or polyps of large bowel using a flexible endoscope | 16 | $6.5K | $403.43 | 7.83x |
| 45398 | Banding of hemorrhoids using a flexible endoscope (colonoscope) | 14 | $5.4K | $384.18 | 10.14x |
This provider submits charges 7.98 times higher than what Medicare actually pays.
A markup ratio of 7.98x means for every $100 Medicare pays, this provider initially charges $798. 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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