This provider's $10.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.92x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 495% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 211% in 2015
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 | $8.0K | $310.21 | 25.79x | $7.7K | $270.5K | 875 | 873 |
| 2015 | $8.0K | $310.26 | 25.78x | $7.7K | $841.2K | 2.6K | 2.5K |
| 2016 | $7.7K | $331.83 | 23.22x | $7.4K | $972.9K | 3.0K | 2.9K |
| 2017 | $4.6K | $302.02 | 15.25x | $4.3K | $926.9K | 2.8K | 2.7K |
| 2018 | $4.0K | $297.34 | 13.45x | $3.7K | $1.0M | 3.1K | 3.0K |
| 2019 | $4.0K | $340.24 | 11.76x | $3.7K | $1.2M | 3.5K | 3.4K |
| 2020 | $4.0K | $360.12 | 11.11x | $3.6K | $921.3K | 2.6K | 2.6K |
| 2021 | $4.0K | $373.67 | 10.70x | $3.6K | $1.2M | 3.4K | 3.3K |
| 2022 | $4.0K | $415.80 | 9.62x | $3.6K | $1.4M | 3.8K | 3.7K |
| 2023 | $4.0K | $443.25 | 9.02x | $3.6K | $1.6M | 3.9K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 7.7K | $3.5M | $450.03 | 10.57x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 8.5K | $2.4M | $276.82 | 17.92x |
| 45380 | Biopsy of large bowel using an endoscope | 6.5K | $2.2M | $344.43 | 14.44x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 2.0K | $816.4K | $402.16 | 12.67x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.3K | $518.4K | $384.56 | 13.03x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.4K | $421.8K | $302.12 | 16.77x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 506 | $141.3K | $279.25 | 18.59x |
| 45381 | Injections of large bowel using an endoscope | 516 | $126.5K | $245.21 | 19.98x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 342 | $96.3K | $281.65 | 18.51x |
| 43251 | Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope | 122 | $73.0K | $598.06 | 7.95x |
| 43249 | Balloon dilation of esophagus using an endoscope | 114 | $68.8K | $603.45 | 6.74x |
| 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 161 | $50.4K | $313.30 | 15.62x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 185 | $42.0K | $226.83 | 17.76x |
| 44361 | Biopsy of small bowel (except ileum) using an endoscope | 26 | $17.1K | $657.12 | 6.09x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 53 | $14.0K | $263.58 | 16.03x |
| 45330 | Diagnostic examination of large bowel using an endoscope | 41 | $4.2K | $103.48 | 52.80x |
| 45331 | Biopsy of large bowel using an endoscope | 13 | $2.8K | $218.77 | 36.57x |
| 91035 | Monitoring and recording of gastroesophageal reflux with pH electrode insertion including analysis and interpretation | 12 | $2.5K | $206.72 | 19.35x |
This provider submits charges 13.92 times higher than what Medicare actually pays.
A markup ratio of 13.92x means for every $100 Medicare pays, this provider initially charges $1392. 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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