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 7.35x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1639% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1500% 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 | $3.8K | $483.14 | 7.83x | $3.3K | $37.8K | 74 | 72 |
| 2018 | $4.5K | $905.33 | 4.93x | $3.6K | $604.1K | 791 | 771 |
| 2019 | $5.1K | $663.79 | 7.74x | $4.5K | $685.2K | 993 | 955 |
| 2020 | $6.1K | $917.98 | 6.61x | $5.1K | $611.3K | 742 | 705 |
| 2021 | $6.3K | $965.39 | 6.48x | $5.3K | $608.5K | 770 | 734 |
| 2022 | $9.6K | $2.3K | 4.25x | $7.3K | $905.3K | 750 | 710 |
| 2023 | $5.9K | $852.32 | 6.96x | $5.1K | $656.9K | 895 | 864 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29827 | Repair of shoulder rotator cuff using an endoscope | 296 | $535.2K | $1.8K | 5.13x |
| 64721 | Release and/or relocation of median nerve of hand | 855 | $496.7K | $580.99 | 9.52x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 184 | $412.2K | $2.2K | 2.77x |
| 26055 | Incision of tendon covering | 761 | $338.6K | $445.00 | 8.43x |
| 29848 | Release of wrist ligament using an endoscope | 604 | $309.4K | $512.25 | 19.30x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 91 | $293.2K | $3.2K | 2.80x |
| 25447 | Removal of bone joints between wrist and fingers | 343 | $282.2K | $822.68 | 7.04x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 12 | $230.7K | $19.2K | 2.79x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 198 | $138.1K | $697.46 | 7.68x |
| 20680 | Removal of deep bone implant | 153 | $124.5K | $813.99 | 6.25x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 196 | $115.2K | $587.99 | 9.01x |
| 26480 | Transplant of tendon of hand | 120 | $114.0K | $949.74 | 5.67x |
| 26123 | Removal of tissue of palm | 101 | $101.0K | $999.99 | 5.79x |
| 64718 | Release and/or relocation of ulnar nerve at elbow | 174 | $88.6K | $509.26 | 14.29x |
| 28285 | Correction of toe joint deformity | 145 | $88.2K | $608.17 | 7.96x |
| 25310 | Relocation of tendon of forearm and/or wrist | 147 | $79.5K | $540.95 | 11.25x |
| 28750 | Fusion of great toe | 22 | $70.5K | $3.2K | 2.34x |
| 26860 | Fusion of finger joint | 54 | $52.5K | $971.50 | 4.64x |
| 20902 | Bone graft harvest | 38 | $44.0K | $1.2K | 5.19x |
| 28308 | Incision to straighten toe bone | 57 | $43.0K | $754.03 | 5.04x |
This provider submits charges 7.35 times higher than what Medicare actually pays.
A markup ratio of 7.35x means for every $100 Medicare pays, this provider initially charges $735. 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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