This provider's $7.1M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $12.2K | $6.1K | 2.00x | $6.1K | $2.2M | 414 | 387 |
| 2022 | $19.3K | $7.6K | 2.53x | $11.6K | $2.7M | 545 | 514 |
| 2023 | $10.3K | $4.0K | 2.57x | $6.3K | $2.3M | 661 | 625 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 288 | $1.4M | $4.9K | 2.60x |
| 33285 | Insertion of heart rhythm monitor under skin | 165 | $913.3K | $5.5K | 2.44x |
| C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch | 94 | $843.0K | $9.0K | 2.34x |
| C1824 | Generator, cardiac contractility modulation (implantable) | 41 | $761.2K | $18.6K | 1.31x |
| 33249 | Insertion of implantable defibrillator system | 30 | $602.4K | $20.1K | 2.61x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 55 | $451.2K | $8.2K | 2.62x |
| 0408T | Insertion or replacement of pulse generator and electrodes of heart contractility modulator system | 42 | $435.2K | $10.4K | 2.21x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 65 | $398.5K | $6.1K | 2.49x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels and left lower heart including imaging interpretation and supervision and injection | 415 | $366.8K | $883.90 | 2.53x |
| 37238 | Insertion of stent in vein with review by radiologist, initial vein | 54 | $265.6K | $4.9K | 2.48x |
| C1833 | Monitor, cardiac, including intracardiac lead and all system components (implantable) | 15 | $215.6K | $14.4K | 1.60x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 15 | $93.1K | $6.2K | 2.44x |
| 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 | 65 | $91.4K | $1.4K | 5.12x |
| 0525T | Insertion or replacement of complete monitoring system for deficient blood flow in heart muscle using imaging guidance | 15 | $70.8K | $4.7K | 9.13x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels and/or grafts and left lower heart including imaging interpretation and supervision and injection | 72 | $62.4K | $867.31 | 2.55x |
| 93452 | Insertion of catheter into left heart including imaging interpretation and supervision and injection | 73 | $60.8K | $832.83 | 2.62x |
| C1761 | Catheter, transluminal intravascular lithotripsy, coronary | 12 | $51.6K | $4.3K | 1.64x |
| 93451 | Insertion of tube in right heart chambers for measurement | 26 | $29.4K | $1.1K | 2.24x |
| 93460 | Insertion of catheter in right and left heart and left lower heart including imaging interpretation and supervision and injection | 15 | $11.1K | $738.69 | 3.71x |
| 93454 | Insertion of tube in coronary artery for diagnosis with review by radiologist | 11 | $11.0K | $995.54 | 2.33x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. 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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