This provider's $8.2M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.85x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 2491% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 951% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $12.1K | $1.0K | 11.74x | $11.1K | $76.9K | 78 | 77 |
| 2020 | $23.6K | $3.2K | 7.41x | $20.4K | $807.9K | 303 | 282 |
| 2021 | $35.5K | $5.2K | 6.85x | $30.3K | $2.7M | 596 | 566 |
| 2022 | $40.4K | $5.4K | 7.42x | $35.0K | $2.7M | 651 | 606 |
| 2023 | $43.0K | $5.9K | 7.28x | $37.1K | $2.0M | 426 | 417 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint prosthesis | 371 | $2.5M | $6.6K | 13.42x |
| 27447 | Repair of knee joint | 364 | $2.4M | $6.5K | 11.54x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 96 | $1.7M | $17.7K | 4.50x |
| 63655 | Implantation of spinal neurostimulator electrodes | 41 | $512.4K | $12.5K | 4.44x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 53 | $338.5K | $6.4K | 7.33x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 113 | $241.8K | $2.1K | 10.51x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 11 | $144.9K | $13.2K | 4.97x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 51 | $106.2K | $2.1K | 10.74x |
| 64721 | Release and/or relocation of median nerve of hand | 127 | $72.6K | $571.51 | 10.98x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 33 | $65.2K | $2.0K | 11.31x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 15 | $50.0K | $3.3K | 4.72x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 11 | $39.2K | $3.6K | 4.93x |
| 29881 | Removal of one knee cartilage using an endoscope | 34 | $32.3K | $948.62 | 11.36x |
| 62380 | Decompression of spinal cord and/or nerve root in lower back using endoscope | 16 | $30.9K | $1.9K | 12.16x |
| 26055 | Incision of tendon covering | 28 | $11.2K | $401.11 | 16.33x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 45 | $11.0K | $243.77 | 12.37x |
| 76000 | Imaging guidance for procedure, up to 1 hour | 306 | $6.2K | $20.35 | 79.10x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 339 | $361.67 | $1.07 | 5.29x |
This provider submits charges 9.85 times higher than what Medicare actually pays.
A markup ratio of 9.85x means for every $100 Medicare pays, this provider initially charges $985. 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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