This provider's $26.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.16x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 61% from 2014 to 2023.
66% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic lens).
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 | $3.3K | $610.59 | 5.48x | $2.7K | $2.1M | 3.5K | 25 |
| 2015 | $3.7K | $621.11 | 6.00x | $3.1K | $2.3M | 3.7K | 25 |
| 2016 | $4.5K | $657.20 | 6.89x | $3.9K | $2.6M | 3.9K | 27 |
| 2017 | $4.6K | $665.76 | 6.96x | $4.0K | $2.7M | 4.0K | 27 |
| 2018 | $4.7K | $644.77 | 7.30x | $4.1K | $2.7M | 4.2K | 27 |
| 2019 | $4.7K | $625.21 | 7.53x | $4.1K | $2.6M | 4.2K | 23 |
| 2020 | $5.1K | $733.01 | 6.97x | $4.4K | $1.9M | 2.6K | 15 |
| 2021 | $5.2K | $755.26 | 6.90x | $4.5K | $2.7M | 3.6K | 17 |
| 2022 | $6.0K | $758.08 | 7.95x | $5.3K | $3.4M | 4.5K | 28 |
| 2023 | $6.8K | $800.53 | 8.47x | $6.0K | $3.4M | 4.3K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 21.2K | $15.4M | $722.91 | 7.11x |
| V2785 | Processing, preserving and transporting corneal tissue | 602 | $1.8M | $3.0K | 5.71x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.3K | $702.3K | $163.33 | 13.25x |
| 65756 | Transplantation of outer layer of corneal tissue | 479 | $636.6K | $1.3K | 5.23x |
| 0191T | Internal insertion of eye fluid drainage device | 325 | $575.0K | $1.8K | 4.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 796 | $571.2K | $717.57 | 7.05x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 163 | $384.7K | $2.4K | 4.90x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 374 | $373.2K | $997.85 | 6.00x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 742 | $316.9K | $427.13 | 8.76x |
| 64721 | Release and/or relocation of hand nerve | 572 | $315.3K | $551.19 | 7.11x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 164 | $301.9K | $1.8K | 4.92x |
| 28285 | Correction of toe joint deformity | 483 | $291.5K | $603.43 | 6.25x |
| 49650 | Repair of groin hernia using an endoscope | 196 | $289.8K | $1.5K | 5.13x |
| 27447 | Replacement of knee joint, both sides of knee | 43 | $281.3K | $6.5K | 8.69x |
| 65820 | Incision to improve eye fluid flow | 169 | $229.2K | $1.4K | 4.87x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 141 | $226.4K | $1.6K | 3.79x |
| 67904 | Repair of tendon of upper eyelid | 487 | $225.4K | $462.93 | 11.64x |
| 30520 | Reshaping of nasal cartilage | 330 | $192.8K | $584.39 | 10.88x |
| 26055 | Incision of tendon covering of finger | 454 | $176.6K | $389.06 | 6.95x |
| 25447 | Removal of bone joints between wrist and fingers | 217 | $175.3K | $807.61 | 7.28x |
This provider submits charges 7.16 times higher than what Medicare actually pays.
A markup ratio of 7.16x means for every $100 Medicare pays, this provider initially charges $716. 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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