This provider's $28.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 56% from 2014 to 2023.
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 | $3.0K | $621.42 | 4.77x | $2.3K | $2.2M | 3.5K | 11 |
| 2015 | $3.0K | $683.50 | 4.34x | $2.3K | $2.3M | 3.4K | 14 |
| 2016 | $3.0K | $691.04 | 4.33x | $2.3K | $2.6M | 3.7K | 11 |
| 2017 | $3.3K | $751.98 | 4.44x | $2.6K | $2.6M | 3.5K | 12 |
| 2018 | $3.4K | $783.88 | 4.33x | $2.6K | $3.1M | 4.0K | 12 |
| 2019 | $914.76 | $227.49 | 4.02x | $687.27 | $3.1M | 13.5K | 17 |
| 2020 | $1.4K | $384.45 | 3.72x | $1.0K | $2.9M | 7.6K | 12 |
| 2021 | $804.57 | $235.83 | 3.41x | $568.74 | $3.6M | 15.4K | 11 |
| 2022 | $807.44 | $236.10 | 3.42x | $571.34 | $3.1M | 13.0K | 11 |
| 2023 | $932.78 | $277.95 | 3.36x | $654.83 | $3.4M | 12.3K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 19.7K | $16.6M | $841.72 | 4.70x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 21.0K | $2.2M | $106.11 | 1.43x |
| 0191T | Internal insertion of eye fluid drainage device | 936 | $1.9M | $2.1K | 2.58x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.9K | $1.6M | $839.16 | 4.72x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 17.8K | $1.4M | $79.55 | 1.51x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.9K | $1.1M | $217.22 | 5.52x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 261 | $689.9K | $2.6K | 1.51x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 297 | $675.3K | $2.3K | 3.03x |
| 66183 | Insertion of eye fluid drainage device | 246 | $563.9K | $2.3K | 3.01x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 191 | $416.3K | $2.2K | 3.17x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 652 | $232.6K | $356.69 | 1.29x |
| 66174 | Dilation of fluid outflow drainage within eye | 200 | $213.2K | $1.1K | 3.74x |
| 67904 | Repair of tendon of upper eyelid | 364 | $195.3K | $536.59 | 2.60x |
| 65820 | Incision to improve eye fluid flow | 166 | $166.3K | $1.0K | 3.97x |
| 65855 | Laser repair to improve eye fluid flow | 1.2K | $161.5K | $130.92 | 7.65x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 864 | $137.8K | $159.52 | 8.77x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 368 | $134.8K | $366.29 | 2.52x |
| 65850 | Insertion of eye fluid drainage tube | 133 | $84.3K | $634.13 | 2.57x |
| 66250 | Revision or repair of operative wound of eye | 97 | $65.4K | $674.43 | 1.91x |
| 66175 | Dilation with insertion of device or stent to improve eye fluid flow | 34 | $44.1K | $1.3K | 1.31x |
This provider submits charges 3.95 times higher than what Medicare actually pays.
A markup ratio of 3.95x means for every $100 Medicare pays, this provider initially charges $395. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data