This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.42x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 53781% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 12953% 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 | $6.8K | $153.56 | 44.26x | $6.6K | $10.4K | 68 | 2 |
| 2022 | $11.7K | $1.7K | 7.00x | $10.0K | $1.4M | 818 | 12 |
| 2023 | $20.9K | $3.4K | 6.21x | $17.5K | $5.6M | 1.7K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 169 | $2.5M | $14.9K | 3.95x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 534 | $2.0M | $3.8K | 10.67x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 59 | $1.1M | $19.1K | 2.51x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 224 | $837.1K | $3.7K | 5.87x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 371 | $105.2K | $283.45 | 12.69x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 154 | $94.2K | $611.78 | 5.12x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 274 | $69.8K | $254.88 | 9.41x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 14 | $52.2K | $3.7K | 25.82x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 155 | $40.0K | $257.84 | 9.02x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 122 | $31.3K | $256.42 | 9.07x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 52 | $30.7K | $589.59 | 3.88x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 128 | $29.7K | $232.16 | 11.57x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 99 | $25.1K | $253.85 | 9.46x |
| 20610 | Aspiration and/or injection of fluid from large joint | 205 | $5.2K | $25.51 | 69.99x |
This provider submits charges 6.42 times higher than what Medicare actually pays.
A markup ratio of 6.42x means for every $100 Medicare pays, this provider initially charges $642. 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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