This provider's $5.3M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.37x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 431% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $7.8K | $1.2K | 6.25x | $6.5K | $344.0K | 285 | 282 |
| 2015 | $7.9K | $1.1K | 6.99x | $6.8K | $331.3K | 288 | 287 |
| 2016 | $7.8K | $1.1K | 6.86x | $6.7K | $390.1K | 344 | 342 |
| 2017 | $7.9K | $1.1K | 6.87x | $6.7K | $439.6K | 380 | 379 |
| 2018 | $7.9K | $1.2K | 6.64x | $6.7K | $351.7K | 305 | 302 |
| 2019 | $7.9K | $1.1K | 6.91x | $6.7K | $320.0K | 270 | 268 |
| 2020 | $7.8K | $1.2K | 6.50x | $6.6K | $282.8K | 230 | 228 |
| 2021 | $6.9K | $1.1K | 6.33x | $5.8K | $391.8K | 304 | 301 |
| 2022 | $8.3K | $1.3K | 6.60x | $7.1K | $658.2K | 513 | 501 |
| 2023 | $17.4K | $2.7K | 6.39x | $14.6K | $1.8M | 606 | 584 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 745 | $1.5M | $2.0K | 4.57x |
| 27447 | Replacement of knee joint, both sides of knee | 126 | $909.3K | $7.2K | 3.51x |
| 29881 | Removal of one knee cartilage using an endoscope | 734 | $728.4K | $992.42 | 8.87x |
| 29880 | Removal of both knee cartilages using an endoscope | 575 | $569.0K | $989.49 | 8.75x |
| 23430 | Anchoring of biceps tendon | 186 | $348.2K | $1.9K | 4.33x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 186 | $296.1K | $1.6K | 5.22x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 37 | $272.5K | $7.4K | 4.18x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 355 | $237.8K | $669.92 | 11.96x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 314 | $219.5K | $698.95 | 14.61x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 47 | $112.5K | $2.4K | 4.89x |
| 29822 | Removal of shoulder joint tissue using an endoscope | 181 | $103.7K | $572.83 | 13.27x |
| 29807 | Repair of shoulder socket using an endoscope | 13 | $19.3K | $1.5K | 9.56x |
| 29873 | Release of ligaments at outer aspect of knee joint using an endoscope | 15 | $8.0K | $533.10 | 14.04x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 11 | $11.53 | $1.05 | 3.23x |
This provider submits charges 6.37 times higher than what Medicare actually pays.
A markup ratio of 6.37x means for every $100 Medicare pays, this provider initially charges $637. 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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