This provider's $4.1M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 10.1x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 98% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 584% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.4K | $246.32 | 5.51x | $1.1K | $450.0K | 1.7K | 788 |
| 2015 | $1.4K | $251.52 | 5.47x | $1.1K | $380.5K | 1.5K | 694 |
| 2016 | $1.7K | $222.00 | 7.76x | $1.5K | $386.9K | 1.7K | 828 |
| 2017 | $2.6K | $199.14 | 13.23x | $2.4K | $316.2K | 1.6K | 784 |
| 2018 | $3.4K | $182.86 | 18.64x | $3.2K | $328.5K | 1.5K | 840 |
| 2019 | $6.6K | $451.02 | 14.72x | $6.2K | $612.8K | 2.3K | 1.3K |
| 2020 | $6.9K | $475.52 | 14.60x | $6.5K | $519.6K | 1.6K | 936 |
| 2021 | $4.7K | $314.92 | 14.83x | $4.4K | $120.3K | 452 | 344 |
| 2022 | $2.0K | $371.92 | 5.47x | $1.7K | $130.4K | 505 | 502 |
| 2023 | $5.3K | $950.36 | 5.53x | $4.3K | $891.7K | 2.0K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 62311 | Injections of substances into lower or sacral spine | 2.7K | $688.7K | $253.57 | 5.20x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.7K | $553.9K | $207.23 | 13.60x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.9K | $465.1K | $244.26 | 11.49x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 767 | $407.4K | $531.12 | 13.11x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 76 | $396.3K | $5.2K | 4.89x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 1.4K | $269.2K | $192.59 | 10.65x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 861 | $217.0K | $252.02 | 12.63x |
| 62310 | Injections of substances into upper or middle spine | 532 | $134.8K | $253.31 | 5.22x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 629 | $130.3K | $207.10 | 13.57x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 230 | $127.2K | $552.87 | 10.57x |
| 52287 | Exam with injections of chemical for destruction of bladder using an endoscope | 207 | $123.6K | $597.16 | 6.36x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 540 | $107.0K | $198.23 | 12.89x |
| 55700 | Biopsy of prostate gland | 166 | $99.5K | $599.65 | 5.37x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 29 | $94.9K | $3.3K | 12.61x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 294 | $79.4K | $269.97 | 11.26x |
| 64625 | Radiofrequency destruction of nerves supplying joint between spine and pelvis using imaging guidance | 84 | $47.1K | $560.14 | 13.31x |
| 52281 | Dilation of urethra using an endoscope | 75 | $44.7K | $596.04 | 5.36x |
| 52224 | Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm | 33 | $35.0K | $1.1K | 5.43x |
| 52310 | Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope | 58 | $33.9K | $584.32 | 7.84x |
| 64510 | Injection of anesthetic agent, sympathetic nerve bundle | 57 | $16.0K | $280.67 | 13.90x |
This provider submits charges 10.1 times higher than what Medicare actually pays.
A markup ratio of 10.1x means for every $100 Medicare pays, this provider initially charges $1010. 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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