This provider's $4.2M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.18x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 387% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 295% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $10.9K | $1.4K | 7.64x | $9.5K | $425.7K | 718 | 574 |
| 2022 | $12.3K | $1.5K | 8.29x | $10.8K | $1.7M | 1.6K | 1.3K |
| 2023 | $13.0K | $2.1K | 6.13x | $10.9K | $2.1M | 1.8K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint prosthesis | 138 | $979.6K | $7.1K | 6.06x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 124 | $877.1K | $7.1K | 6.11x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 988 | $284.0K | $287.47 | 12.13x |
| 27446 | Replacement of knee joint on side of knee | 41 | $283.1K | $6.9K | 6.23x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 12 | $229.7K | $19.1K | 2.40x |
| 64721 | Release and/or relocation of median nerve of hand | 320 | $190.4K | $595.13 | 12.16x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 81 | $173.1K | $2.1K | 8.24x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 256 | $162.1K | $633.29 | 9.13x |
| 26055 | Incision of tendon covering | 324 | $151.4K | $467.35 | 14.29x |
| 28750 | Fusion of big toe at joint with foot | 30 | $102.0K | $3.4K | 5.49x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 433 | $90.1K | $207.97 | 15.54x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance, single level | 328 | $86.4K | $263.36 | 12.91x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 20 | $76.1K | $3.8K | 2.36x |
| 26480 | Transfer of tendon to back of hand | 56 | $57.0K | $1.0K | 10.32x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 172 | $43.3K | $251.68 | 11.78x |
| 29881 | Removal of knee cartilage using an endoscope | 39 | $41.0K | $1.1K | 10.76x |
| 25608 | Treatment of 2 broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 12 | $40.5K | $3.4K | 6.88x |
| 28285 | Correction of toe joint deformity | 58 | $35.6K | $614.51 | 13.68x |
| 20680 | Removal of deep implant from bone | 45 | $35.1K | $778.99 | 11.43x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance, single level | 127 | $34.3K | $269.71 | 12.60x |
This provider submits charges 8.18 times higher than what Medicare actually pays.
A markup ratio of 8.18x means for every $100 Medicare pays, this provider initially charges $818. 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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