This provider's $4.7M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.23x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 8074% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 471% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $2.4K | $293.11 | 8.32x | $2.1K | $31.6K | 108 | 108 |
| 2018 | $2.9K | $292.72 | 9.91x | $2.6K | $180.6K | 616 | 613 |
| 2019 | $3.0K | $331.68 | 9.16x | $2.7K | $281.0K | 877 | 868 |
| 2020 | $3.0K | $326.02 | 9.32x | $2.7K | $303.2K | 968 | 958 |
| 2021 | $3.2K | $324.77 | 9.92x | $2.9K | $449.0K | 1.4K | 1.4K |
| 2022 | $9.4K | $2.6K | 3.62x | $6.8K | $845.2K | 1.4K | 1.4K |
| 2023 | $9.6K | $2.7K | 3.51x | $6.9K | $2.6M | 1.8K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 75 | $1.4M | $19.1K | 2.88x |
| 45380 | Biopsy of large bowel using an endoscope | 2.8K | $851.8K | $303.66 | 10.42x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 1.8K | $734.7K | $409.28 | 7.83x |
| 27279 | Fusion of pelvic joint using imaging guidance | 36 | $441.9K | $12.3K | 2.66x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 66 | $247.3K | $3.7K | 4.08x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.1K | $246.8K | $219.61 | 14.44x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 30 | $229.5K | $7.6K | 3.78x |
| 43249 | Balloon dilation of esophagus using an endoscope | 217 | $117.4K | $541.23 | 6.89x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 25 | $93.3K | $3.7K | 2.46x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 225 | $85.6K | $380.43 | 8.47x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 142 | $53.5K | $376.62 | 8.55x |
| 45381 | Injections of large bowel using an endoscope | 210 | $47.9K | $228.33 | 10.64x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 131 | $35.6K | $271.66 | 11.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance, single level | 104 | $27.9K | $267.98 | 13.06x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 31 | $9.7K | $313.32 | 6.41x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 15 | $7.6K | $505.37 | 5.18x |
| 43248 | Insertion of guide wire with dilation of esophagus using an endoscope | 16 | $4.1K | $258.68 | 10.89x |
| 45331 | Biopsy of lower large bowel using a flexible endoscope | 13 | $3.5K | $265.55 | 7.34x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 14 | $2.6K | $187.49 | 10.93x |
| 45330 | Diagnostic exam of lower portion of large bowel using a flexible endoscope | 13 | $1.4K | $107.72 | 33.10x |
This provider submits charges 6.23 times higher than what Medicare actually pays.
A markup ratio of 6.23x means for every $100 Medicare pays, this provider initially charges $623. 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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