This provider's $15.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 407% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 146% in 2019
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 | $2.1K | $562.84 | 3.68x | $1.5K | $596.6K | 1.1K | 15 |
| 2015 | $1.9K | $489.69 | 3.88x | $1.4K | $613.1K | 1.3K | 17 |
| 2016 | $1.9K | $537.30 | 3.61x | $1.4K | $816.2K | 1.5K | 16 |
| 2017 | $2.1K | $532.18 | 3.93x | $1.6K | $896.2K | 1.7K | 17 |
| 2018 | $2.5K | $631.73 | 3.94x | $1.9K | $940.6K | 1.5K | 16 |
| 2019 | $2.3K | $874.12 | 2.58x | $1.4K | $2.3M | 2.6K | 20 |
| 2020 | $2.1K | $659.65 | 3.14x | $1.4K | $1.8M | 2.7K | 22 |
| 2021 | $2.2K | $702.31 | 3.12x | $1.5K | $2.3M | 3.3K | 21 |
| 2022 | $2.3K | $739.38 | 3.14x | $1.6K | $2.5M | 3.4K | 21 |
| 2023 | $3.2K | $1.1K | 3.03x | $2.1K | $3.0M | 2.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 6.2K | $5.2M | $845.82 | 3.01x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 139 | $2.2M | $15.7K | 2.79x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 469 | $1.9M | $4.1K | 2.99x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 180 | $1.1M | $6.0K | 2.51x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 342 | $612.3K | $1.8K | 2.85x |
| 52648 | Complete laser vaporization of prostate including control of bleeding using an endoscope | 226 | $398.7K | $1.8K | 2.59x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.6K | $366.0K | $79.96 | 2.16x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 763 | $284.5K | $372.89 | 1.61x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.4K | $257.8K | $107.74 | 1.83x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 52 | $222.5K | $4.3K | 2.67x |
| 52332 | Insertion of stent in ureter using an endoscope | 229 | $220.0K | $960.79 | 4.00x |
| 55700 | Biopsy of prostate gland | 304 | $212.6K | $699.25 | 3.21x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 640 | $196.7K | $307.30 | 6.62x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 735 | $194.4K | $264.55 | 6.50x |
| 0191T | Internal insertion of eye fluid drainage device | 80 | $161.2K | $2.0K | 1.79x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 286 | $157.3K | $549.89 | 4.72x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 533 | $132.7K | $249.04 | 8.05x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 75 | $117.9K | $1.6K | 2.69x |
| 52235 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm | 84 | $99.1K | $1.2K | 2.94x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 81 | $97.4K | $1.2K | 2.82x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ Clear |
| Syracuse Asc, Llc | Liverpool, NY | $38.3M | ✓ 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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