This provider's $16.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.45x 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $64.4K | $9.8K | 6.59x | $54.6K | $2.3M | 275 | 274 |
| 2018 | $64.6K | $10.1K | 6.40x | $54.5K | $2.2M | 287 | 287 |
| 2019 | $55.8K | $7.6K | 7.37x | $48.2K | $1.8M | 355 | 355 |
| 2020 | $51.5K | $6.2K | 8.30x | $45.3K | $2.5M | 655 | 643 |
| 2021 | $52.9K | $6.2K | 8.54x | $46.7K | $2.8M | 705 | 696 |
| 2022 | $54.0K | $5.7K | 9.40x | $48.2K | $2.5M | 646 | 636 |
| 2023 | $48.6K | $4.5K | 10.80x | $44.1K | $2.0M | 614 | 598 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 179 | $3.8M | $21.1K | 4.53x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 344 | $2.1M | $6.2K | 10.16x |
| 33264 | Removal and replacement of defibrillator pulse generator | 101 | $2.0M | $19.3K | 5.09x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 301 | $1.8M | $6.0K | 10.49x |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 369 | $1.7M | $4.7K | 12.02x |
| 33285 | Insertion of heart rhythm monitor under skin | 270 | $1.4M | $5.3K | 5.34x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.0K | $996.6K | $969.42 | 40.16x |
| 33282 | Implantation patient-activated heart monitoring device | 173 | $855.7K | $4.9K | 5.71x |
| 33263 | Removal and replacement of defibrillator pulse generator | 43 | $641.0K | $14.9K | 6.69x |
| 37225 | Removal of plaque in arteries of leg | 41 | $199.3K | $4.9K | 14.64x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 171 | $177.5K | $1.0K | 45.66x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 148 | $141.1K | $953.46 | 42.88x |
| 33207 | Insertion or replacement of permanent pacemaker and lower chamber electrodes | 23 | $140.7K | $6.1K | 10.24x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 59 | $50.8K | $860.51 | 37.43x |
| 33286 | Removal of heart rhythm monitor from under skin | 181 | $42.8K | $236.64 | 35.11x |
| 92920 | Balloon dilation of single coronary artery or branch | 13 | $31.7K | $2.4K | 20.04x |
| 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 | 18 | $26.1K | $1.5K | 9.62x |
| 33284 | Removal of implantable patient-activated heart monitoring device | 75 | $17.2K | $229.35 | 36.23x |
This provider submits charges 10.45 times higher than what Medicare actually pays.
A markup ratio of 10.45x means for every $100 Medicare pays, this provider initially charges $1045. 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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