This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 55532% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 15575% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $5.4K | $703.34 | 7.68x | $4.7K | $7.7K | 11 | 1 |
| 2021 | $240.57 | $57.54 | 4.18x | $183.03 | $1.2M | 21.1K | 13 |
| 2022 | $187.62 | $45.90 | 4.09x | $141.72 | $2.6M | 56.4K | 13 |
| 2023 | $200.18 | $46.45 | 4.31x | $153.73 | $4.3M | 92.7K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 590 | $4.4M | $7.4K | 3.62x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 346 | $2.6M | $7.6K | 3.44x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 104 | $218.6K | $2.1K | 3.27x |
| C9290 | Injection, bupivacaine liposome, 1 mg | 167.7K | $179.8K | $1.07 | 1.58x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 263 | $152.9K | $581.51 | 10.34x |
| 64721 | Release and/or relocation of hand nerve | 209 | $140.1K | $670.49 | 8.94x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 173 | $54.9K | $317.49 | 18.61x |
| 26055 | Incision of tendon covering of finger | 104 | $54.1K | $520.36 | 8.85x |
| 23430 | Anchoring of biceps tendon | 11 | $37.0K | $3.4K | 1.86x |
| 29881 | Removal of knee cartilage using an endoscope | 33 | $35.8K | $1.1K | 5.32x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 129 | $35.1K | $272.34 | 22.08x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 103 | $29.2K | $283.63 | 21.03x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 106 | $27.8K | $262.29 | 23.04x |
| 20680 | Removal of deep implant from bone | 29 | $24.6K | $848.69 | 5.66x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 89 | $23.9K | $268.26 | 22.28x |
| 29848 | Release of wrist ligament using an endoscope | 29 | $16.5K | $567.39 | 21.20x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 20 | $12.7K | $636.09 | 8.10x |
| 28285 | Correction of toe joint deformity | 16 | $10.6K | $664.29 | 7.39x |
| 27570 | Manipulation of knee joint under anesthesia | 19 | $10.4K | $547.53 | 8.34x |
| 25447 | Removal of bone joints between wrist and fingers | 11 | $10.4K | $942.95 | 7.18x |
This provider submits charges 4.22 times higher than what Medicare actually pays.
A markup ratio of 4.22x means for every $100 Medicare pays, this provider initially charges $422. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| River Drive Surgery Center, Llc | Elmwood Park, NJ | $75.2M | ✓ Clear |
| Essex Specialized Surgical Institute Llc | West Orange, NJ | $38.7M | ✓ 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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