This provider's $13.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.82x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 54% 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 | $4.5K | $604.55 | 7.48x | $3.9K | $1.2M | 2.2K | 2.0K |
| 2015 | $4.5K | $626.97 | 7.25x | $3.9K | $1.2M | 2.2K | 2.0K |
| 2016 | $4.6K | $596.31 | 7.63x | $4.0K | $1.2M | 2.4K | 2.2K |
| 2017 | $7.7K | $632.15 | 12.18x | $7.1K | $1.3M | 2.5K | 2.3K |
| 2018 | $11.6K | $763.17 | 15.15x | $10.8K | $1.4M | 2.4K | 2.1K |
| 2019 | $10.3K | $628.62 | 16.35x | $9.6K | $1.3M | 2.3K | 2.1K |
| 2020 | $10.7K | $745.19 | 14.40x | $10.0K | $1.3M | 2.1K | 1.9K |
| 2021 | $12.3K | $855.89 | 14.32x | $11.4K | $1.3M | 1.8K | 1.7K |
| 2022 | $14.6K | $1.4K | 10.81x | $13.3K | $1.3M | 1.5K | 1.3K |
| 2023 | $15.3K | $1.5K | 10.17x | $13.8K | $1.8M | 1.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.4K | $2.4M | $726.60 | 11.95x |
| 64721 | Release and/or relocation of median nerve of hand | 2.2K | $1.2M | $537.19 | 13.81x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 381 | $701.7K | $1.8K | 13.33x |
| 25447 | Removal of bone joints between wrist and fingers | 897 | $624.3K | $696.00 | 16.20x |
| 26480 | Transplant of tendon of hand | 836 | $559.1K | $668.78 | 14.74x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 31 | $550.8K | $17.8K | 3.03x |
| 49650 | Repair of groin hernia using an endoscope | 372 | $530.2K | $1.4K | 12.44x |
| 45380 | Biopsy of large bowel using an endoscope | 1.4K | $397.7K | $293.70 | 12.94x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.5K | $375.0K | $246.70 | 22.31x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 614 | $281.3K | $458.07 | 14.77x |
| 26055 | Incision of tendon covering | 800 | $270.5K | $338.14 | 19.08x |
| 29881 | Removal of one knee cartilage using an endoscope | 268 | $247.0K | $921.52 | 12.16x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 79 | $246.1K | $3.1K | 11.49x |
| 60500 | Removal or exploration of parathyroid glands | 152 | $241.5K | $1.6K | 12.23x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 690 | $234.9K | $340.42 | 11.52x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 614 | $205.5K | $334.63 | 9.39x |
| 26123 | Removal of tissue of palm | 217 | $198.1K | $912.76 | 10.59x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 596 | $197.8K | $331.96 | 9.29x |
| 26860 | Fusion of finger joint | 219 | $193.5K | $883.76 | 10.59x |
| 47562 | Removal of gallbladder using an endoscope | 116 | $185.8K | $1.6K | 11.45x |
This provider submits charges 12.82 times higher than what Medicare actually pays.
A markup ratio of 12.82x means for every $100 Medicare pays, this provider initially charges $1282. 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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