This provider's $8.3M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.23x is significantly above the specialty median of 6.1x.
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 | $3.0K | $448.94 | 6.64x | $2.5K | $759.6K | 1.9K | 1.8K |
| 2015 | $3.0K | $436.99 | 6.92x | $2.6K | $747.5K | 1.9K | 1.8K |
| 2016 | $3.1K | $466.46 | 6.75x | $2.7K | $809.9K | 2.1K | 1.9K |
| 2017 | $3.5K | $552.67 | 6.36x | $3.0K | $922.4K | 2.4K | 2.1K |
| 2018 | $3.6K | $571.12 | 6.22x | $3.0K | $894.9K | 2.0K | 1.9K |
| 2019 | $3.5K | $510.05 | 6.88x | $3.0K | $870.0K | 2.1K | 1.9K |
| 2020 | $3.5K | $510.87 | 6.80x | $3.0K | $864.4K | 1.9K | 1.8K |
| 2021 | $1.2K | $545.90 | 2.12x | $613.52 | $924.2K | 1.9K | 1.8K |
| 2022 | $2.7K | $538.02 | 5.10x | $2.2K | $763.4K | 1.6K | 1.5K |
| 2023 | $2.8K | $545.14 | 5.23x | $2.3K | $776.4K | 1.5K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 3.1K | $1.9M | $623.23 | 5.57x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 1.9K | $1.2M | $616.75 | 5.94x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 5.5K | $1.1M | $193.07 | 8.78x |
| 14040 | Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.5K | $935.9K | $616.91 | 5.67x |
| 14301 | Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) | 553 | $655.4K | $1.2K | 3.50x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 1.0K | $646.2K | $626.12 | 5.78x |
| 14041 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 912 | $575.4K | $630.96 | 5.57x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.8K | $341.4K | $188.10 | 9.09x |
| 14021 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs | 531 | $334.9K | $630.74 | 5.50x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 926 | $176.6K | $190.72 | 9.15x |
| 14020 | Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs | 203 | $124.7K | $614.25 | 5.96x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 565 | $105.0K | $185.85 | 9.46x |
| 21235 | Obtaining ear cartilage for grafting | 69 | $61.4K | $890.53 | 5.85x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 300 | $57.1K | $190.34 | 8.76x |
| 15240 | Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) | 75 | $44.0K | $586.51 | 6.57x |
| 15220 | Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs | 61 | $35.7K | $585.32 | 6.39x |
| 67950 | Enlargement of eyelid margin | 52 | $27.8K | $533.85 | 8.46x |
| 15740 | Creation of skin and tissue graft | 23 | $14.7K | $640.98 | 5.94x |
| 15100 | Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) | 21 | $12.5K | $597.39 | 8.19x |
| 13131 | Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 52 | $5.5K | $106.27 | 16.63x |
This provider submits charges 6.23 times higher than what Medicare actually pays.
A markup ratio of 6.23x means for every $100 Medicare pays, this provider initially charges $623. 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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