This provider's $7.9M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.27x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
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 | $2.2K | $699.96 | 3.21x | $1.5K | $696.1K | 1.6K | 1.2K |
| 2015 | $2.3K | $772.62 | 2.99x | $1.5K | $686.2K | 1.5K | 1.2K |
| 2016 | $2.3K | $682.41 | 3.34x | $1.6K | $622.6K | 1.5K | 1.2K |
| 2017 | $2.2K | $574.76 | 3.78x | $1.6K | $605.0K | 1.7K | 1.3K |
| 2018 | $4.3K | $687.47 | 6.19x | $3.6K | $598.8K | 1.4K | 1.2K |
| 2019 | $7.5K | $680.36 | 11.09x | $6.9K | $682.7K | 1.4K | 1.2K |
| 2020 | $7.5K | $894.07 | 8.37x | $6.6K | $986.8K | 1.4K | 1.2K |
| 2021 | $7.5K | $990.45 | 7.57x | $6.5K | $966.7K | 1.4K | 1.1K |
| 2022 | $7.0K | $907.59 | 7.72x | $6.1K | $1.1M | 1.6K | 1.3K |
| 2023 | $7.5K | $919.30 | 8.16x | $6.6K | $923.4K | 974 | 848 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 236 | $1.5M | $6.3K | 4.20x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.1K | $785.4K | $715.31 | 5.92x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.8K | $771.4K | $280.30 | 7.91x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.4K | $749.5K | $313.72 | 6.57x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 301 | $682.7K | $2.3K | 6.63x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.9K | $512.9K | $265.35 | 7.05x |
| 62311 | Injections of substances into lower or sacral spine | 1.6K | $499.4K | $315.05 | 4.63x |
| 49505 | Repair of groin hernia patient age 5 years or older | 418 | $495.1K | $1.2K | 5.95x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 966 | $324.9K | $336.29 | 6.12x |
| 64721 | Release and/or relocation of median nerve of hand | 323 | $228.1K | $706.27 | 6.27x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 234 | $201.2K | $859.66 | 8.51x |
| 29881 | Removal of one knee cartilage using an endoscope | 140 | $153.1K | $1.1K | 5.46x |
| 26055 | Incision of tendon covering | 301 | $153.0K | $508.34 | 8.06x |
| 29880 | Removal of both knee cartilages using an endoscope | 110 | $123.0K | $1.1K | 6.27x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 102 | $109.1K | $1.1K | 5.27x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 275 | $70.1K | $254.90 | 6.64x |
| 49560 | Repair of incisional or abdominal hernia | 51 | $64.9K | $1.3K | 1.57x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 229 | $62.8K | $274.32 | 7.02x |
| 66984 | Removal of cataract with insertion of prosthetic lens | 54 | $53.7K | $995.17 | 7.50x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 73 | $52.3K | $716.80 | 8.61x |
This provider submits charges 6.27 times higher than what Medicare actually pays.
A markup ratio of 6.27x means for every $100 Medicare pays, this provider initially charges $627. 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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