This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.91x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 535% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 257% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $6.5K | $578.50 | 11.23x | $5.9K | $481.9K | 833 | 11 |
| 2021 | $8.3K | $743.74 | 11.14x | $7.5K | $1.7M | 2.3K | 17 |
| 2022 | $9.2K | $938.15 | 9.80x | $8.3K | $2.8M | 3.0K | 22 |
| 2023 | $9.5K | $1.0K | 9.12x | $8.5K | $3.1M | 2.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 294 | $2.1M | $7.3K | 10.30x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 3.1K | $890.8K | $289.78 | 10.40x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 117 | $856.3K | $7.3K | 11.61x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 36 | $696.6K | $19.3K | 4.14x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 128 | $484.0K | $3.8K | 4.16x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.4K | $367.5K | $266.09 | 13.90x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 631 | $320.3K | $507.69 | 13.70x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 136 | $301.4K | $2.2K | 10.09x |
| 27446 | Replacement of knee joint on side of knee | 41 | $290.9K | $7.1K | 8.46x |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 77 | $185.8K | $2.4K | 9.27x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 759 | $171.0K | $225.36 | 13.37x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 523 | $168.7K | $322.49 | 11.47x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 19 | $149.5K | $7.9K | 7.20x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 42 | $149.0K | $3.5K | 6.30x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 16 | $142.9K | $8.9K | 7.33x |
| 64721 | Release and/or relocation of hand nerve | 178 | $112.5K | $631.91 | 9.92x |
| 23430 | Anchoring of biceps tendon | 50 | $106.6K | $2.1K | 10.49x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 366 | $95.2K | $260.18 | 11.59x |
| 26055 | Incision of tendon covering of finger | 198 | $94.3K | $476.44 | 13.74x |
| 29881 | Removal of knee cartilage using an endoscope | 74 | $76.5K | $1.0K | 10.43x |
This provider submits charges 9.91 times higher than what Medicare actually pays.
A markup ratio of 9.91x means for every $100 Medicare pays, this provider initially charges $991. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data