This provider's $8.4M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.31x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 351% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 125% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $12.7K | $3.0K | 4.26x | $9.7K | $359.8K | 179 | 149 |
| 2016 | $16.7K | $3.3K | 5.06x | $13.4K | $360.9K | 173 | 146 |
| 2017 | $24.1K | $3.6K | 6.62x | $20.5K | $810.5K | 189 | 176 |
| 2018 | $17.5K | $2.1K | 8.13x | $15.3K | $1.1M | 369 | 331 |
| 2019 | $20.2K | $2.5K | 7.92x | $17.6K | $920.9K | 365 | 343 |
| 2020 | $21.1K | $2.6K | 8.18x | $18.5K | $786.0K | 345 | 331 |
| 2021 | $28.6K | $3.3K | 8.71x | $25.3K | $1.4M | 352 | 342 |
| 2022 | $35.8K | $2.5K | 14.07x | $33.2K | $1.1M | 318 | 309 |
| 2023 | $39.6K | $3.7K | 10.59x | $35.9K | $1.6M | 383 | 374 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 184 | $3.0M | $16.5K | 4.33x |
| 27446 | Repair of knee joint | 280 | $1.7M | $6.1K | 10.79x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 171 | $1.1M | $6.6K | 13.59x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 134 | $880.4K | $6.6K | 14.43x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 159 | $505.8K | $3.2K | 4.71x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 182 | $301.9K | $1.7K | 14.51x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 26 | $138.6K | $5.3K | 5.93x |
| 29848 | Release of wrist ligament using an endoscope | 240 | $108.2K | $450.70 | 22.61x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 48 | $104.3K | $2.2K | 10.97x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 41 | $85.3K | $2.1K | 10.74x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 312 | $76.6K | $245.39 | 12.29x |
| 25447 | Removal of bone joints between wrist and fingers | 103 | $69.1K | $670.77 | 21.61x |
| 29881 | Removal of one knee cartilage using an endoscope | 58 | $54.4K | $937.49 | 12.14x |
| 28285 | Correction of toe joint deformity | 60 | $32.3K | $538.83 | 14.79x |
| 20680 | Removal of deep bone implant | 30 | $22.2K | $738.40 | 11.52x |
| 23430 | Anchoring of biceps tendon | 11 | $18.8K | $1.7K | 13.06x |
| 26480 | Transplant of tendon of hand | 24 | $18.3K | $762.83 | 13.15x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 11 | $18.1K | $1.6K | 10.96x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 38 | $18.1K | $475.67 | 14.62x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 26 | $17.3K | $665.60 | 28.80x |
This provider submits charges 9.31 times higher than what Medicare actually pays.
A markup ratio of 9.31x means for every $100 Medicare pays, this provider initially charges $931. 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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