This provider's $31.4M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.85x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 58% 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 | $7.8K | $566.34 | 13.75x | $7.2K | $2.3M | 4.0K | 35 |
| 2015 | $6.7K | $650.39 | 10.24x | $6.0K | $2.4M | 3.7K | 39 |
| 2016 | $6.0K | $714.27 | 8.42x | $5.3K | $3.4M | 4.7K | 36 |
| 2017 | $6.5K | $771.84 | 8.45x | $5.7K | $3.6M | 4.7K | 37 |
| 2018 | $7.0K | $827.65 | 8.44x | $6.2K | $4.2M | 5.1K | 38 |
| 2019 | $7.6K | $827.55 | 9.19x | $6.8K | $3.2M | 3.9K | 32 |
| 2020 | $7.9K | $831.67 | 9.44x | $7.0K | $2.1M | 2.5K | 21 |
| 2021 | $6.8K | $669.45 | 10.12x | $6.1K | $3.0M | 4.5K | 28 |
| 2022 | $197.13 | $18.61 | 10.59x | $178.52 | $3.7M | 197.6K | 31 |
| 2023 | $7.1K | $619.60 | 11.39x | $6.4K | $3.6M | 5.8K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 16.6K | $14.2M | $852.13 | 10.72x |
| 33282 | Implantation patient-activated heart monitoring device | 499 | $2.6M | $5.3K | 4.67x |
| 33285 | Insertion of heart rhythm monitor under skin | 367 | $2.1M | $5.8K | 4.96x |
| 0191T | Internal insertion of eye fluid drainage device | 597 | $1.2M | $2.1K | 5.74x |
| 33228 | Removal and replacement of dual lead permanent pacemaker | 186 | $1.2M | $6.6K | 4.63x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 809 | $684.2K | $845.78 | 10.75x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.8K | $604.1K | $212.65 | 20.55x |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2.1K | $581.7K | $280.32 | 15.51x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 1.3K | $537.0K | $416.89 | 11.24x |
| 45380 | Biopsy of large bowel using a flexible endoscope | 1.5K | $513.5K | $334.96 | 13.46x |
| 14301 | Repair of wound by transferring skin, 30.1-60.0 sq cm | 408 | $511.4K | $1.3K | 7.08x |
| 66174 | Dilation of fluid outflow drainage within eye | 252 | $342.4K | $1.4K | 10.12x |
| 67904 | Repair of tendon of upper eyelid | 549 | $315.5K | $574.77 | 15.06x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 107 | $280.9K | $2.6K | 5.54x |
| 14060 | Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 437 | $279.0K | $638.40 | 8.27x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.7K | $272.5K | $102.61 | 1.31x |
| 11404 | Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm | 515 | $201.6K | $391.43 | 10.36x |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 324 | $200.2K | $617.98 | 7.77x |
| 33262 | Removal and replacement of defibrillator pulse generator | 11 | $189.2K | $17.2K | 1.69x |
| 11406 | Removal of noncancer skin growth of body, arms, or legs, more than 4.0 cm | 429 | $185.1K | $431.36 | 11.00x |
This provider submits charges 9.85 times higher than what Medicare actually pays.
A markup ratio of 9.85x means for every $100 Medicare pays, this provider initially charges $985. 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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