This provider's $11.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 108% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% 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 | $3.3K | $442.94 | 7.39x | $2.8K | $610.4K | 1.8K | 1.7K |
| 2015 | $2.5K | $426.80 | 5.82x | $2.1K | $969.0K | 2.8K | 2.6K |
| 2016 | $1.3K | $464.60 | 2.90x | $881.61 | $1.1M | 3.0K | 2.8K |
| 2017 | $1.2K | $425.09 | 2.89x | $801.54 | $1.1M | 3.2K | 3.0K |
| 2018 | $1.2K | $453.81 | 2.62x | $733.83 | $1.1M | 3.2K | 2.9K |
| 2019 | $2.1K | $709.77 | 2.92x | $1.4K | $1.3M | 3.4K | 3.1K |
| 2020 | $1.8K | $725.35 | 2.51x | $1.1K | $1.1M | 2.5K | 2.4K |
| 2021 | $3.5K | $715.06 | 4.87x | $2.8K | $1.2M | 2.8K | 2.7K |
| 2022 | $4.8K | $862.14 | 5.58x | $4.0K | $1.4M | 3.1K | 3.0K |
| 2023 | $4.8K | $668.38 | 7.19x | $4.1K | $1.3M | 2.9K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 7.9K | $2.4M | $303.93 | 5.70x |
| 45380 | Biopsy of large bowel using an endoscope | 4.8K | $1.8M | $376.01 | 3.98x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 2.5K | $1.1M | $445.27 | 3.98x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 2.7K | $904.3K | $337.91 | 4.46x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.4K | $577.5K | $398.29 | 2.75x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 220 | $503.3K | $2.3K | 2.85x |
| 64721 | Release and/or relocation of median nerve of hand | 648 | $435.6K | $672.21 | 4.78x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 935 | $367.0K | $392.48 | 2.83x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 842 | $263.4K | $312.83 | 2.75x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 941 | $242.7K | $257.93 | 3.51x |
| 29880 | Removal of both knee cartilages using an endoscope | 191 | $220.8K | $1.2K | 3.51x |
| 29881 | Removal of one knee cartilage using an endoscope | 189 | $216.7K | $1.1K | 4.25x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 721 | $212.0K | $294.04 | 2.76x |
| 45381 | Injections of large bowel using an endoscope | 722 | $184.4K | $255.43 | 8.68x |
| 26145 | Repair of tendon, finger and/or hand | 455 | $176.5K | $387.94 | 7.47x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 37 | $154.3K | $4.2K | 1.62x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 29 | $107.2K | $3.7K | 1.35x |
| 26055 | Incision of tendon covering | 210 | $99.0K | $471.61 | 6.19x |
| 62311 | Injections of substances into lower or sacral spine | 327 | $97.4K | $297.92 | 3.59x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 25 | $95.9K | $3.8K | 2.77x |
This provider submits charges 4.41 times higher than what Medicare actually pays.
A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. 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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