This provider's $10.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 3407% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 582% in 2016
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 | $12.9K | $1.1K | 12.21x | $11.8K | $50.9K | 59 | 44 |
| 2015 | $11.8K | $1.1K | 10.31x | $10.7K | $41.6K | 37 | 31 |
| 2016 | $3.9K | $932.11 | 4.23x | $3.0K | $283.3K | 686 | 408 |
| 2017 | $5.2K | $1.8K | 2.85x | $3.4K | $1.0M | 698 | 474 |
| 2018 | $3.2K | $1.7K | 1.84x | $1.5K | $2.2M | 943 | 670 |
| 2019 | $2.9K | $1.8K | 1.61x | $1.1K | $1.9M | 976 | 698 |
| 2020 | $5.0K | $2.3K | 2.22x | $2.8K | $1.2M | 852 | 626 |
| 2021 | $4.0K | $1.5K | 2.63x | $2.5K | $879.8K | 966 | 640 |
| 2022 | $3.4K | $1.3K | 2.63x | $2.1K | $984.4K | 1.1K | 786 |
| 2023 | $8.1K | $2.6K | 3.06x | $5.5K | $1.8M | 1.2K | 862 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 429 | $4.4M | $10.2K | 1.33x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 334 | $2.9M | $8.8K | 3.19x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 3.8K | $961.9K | $256.23 | 3.27x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 890 | $580.7K | $652.48 | 1.70x |
| 62380 | Decompression of spinal cord and/or nerve root in lower back using endoscope | 130 | $328.7K | $2.5K | 3.07x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 79 | $292.6K | $3.7K | 3.01x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 979 | $254.2K | $259.68 | 3.14x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 17 | $130.2K | $7.7K | 3.65x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 348 | $85.9K | $246.74 | 1.86x |
| 19301 | Partial removal of breast | 91 | $81.3K | $893.56 | 1.28x |
| 22102 | Partial removal of spine bone and growth at lower spinal column | 40 | $75.3K | $1.9K | 11.27x |
| 19125 | Removal of breast growth, open procedure | 77 | $73.2K | $950.64 | 5.21x |
| 19120 | Removal of 1 or more breast growth, open procedure | 76 | $68.9K | $907.13 | 1.32x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 13 | $46.7K | $3.6K | 2.78x |
| 38525 | Biopsy or removal of lymph nodes of under the arm, open procedure | 40 | $20.9K | $521.38 | 1.70x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 65 | $14.7K | $226.68 | 1.50x |
| 62310 | Injections of substances into upper or middle spine | 43 | $12.7K | $294.52 | 11.20x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 45 | $11.3K | $250.48 | 2.41x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 42 | $7.5K | $177.49 | 1.72x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 11 | $3.2K | $292.45 | 9.57x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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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