This provider's $13.1M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.55x is significantly above the specialty median of 6.1x.
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 | $2.4K | $585.68 | 4.17x | $1.9K | $948.9K | 3.0K | 1.8K |
| 2015 | $2.3K | $422.85 | 5.35x | $1.8K | $1.1M | 3.3K | 2.1K |
| 2016 | $2.4K | $438.21 | 5.44x | $1.9K | $1.2M | 3.6K | 2.4K |
| 2017 | $2.5K | $475.40 | 5.30x | $2.0K | $1.3M | 4.1K | 2.7K |
| 2018 | $2.5K | $519.75 | 4.89x | $2.0K | $1.4M | 4.0K | 2.7K |
| 2019 | $2.7K | $510.74 | 5.23x | $2.2K | $1.7M | 4.6K | 3.2K |
| 2020 | $2.8K | $536.70 | 5.22x | $2.3K | $1.2M | 3.1K | 2.2K |
| 2021 | $2.9K | $582.09 | 5.05x | $2.4K | $1.5M | 3.4K | 2.5K |
| 2022 | $2.9K | $585.84 | 4.90x | $2.3K | $1.3M | 2.9K | 2.3K |
| 2023 | $4.0K | $832.73 | 4.82x | $3.2K | $1.4M | 2.8K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 4.9K | $2.9M | $586.82 | 4.22x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 717 | $2.1M | $2.9K | 1.98x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 530 | $1.8M | $3.4K | 2.11x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 5.9K | $1.4M | $232.97 | 11.29x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 5.1K | $1.3M | $251.68 | 9.49x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.5K | $1.1M | $234.62 | 10.47x |
| 62311 | Injections of substances into lower or sacral spine | 1.8K | $462.8K | $262.21 | 8.22x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 2.0K | $424.4K | $211.25 | 7.55x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 671 | $400.1K | $596.30 | 4.35x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 1.5K | $358.5K | $232.06 | 11.36x |
| 64479 | Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance | 950 | $263.2K | $277.04 | 8.57x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 950 | $239.8K | $252.47 | 9.94x |
| 62310 | Injections of substances into upper or middle spine | 650 | $169.6K | $260.98 | 8.22x |
| 64555 | Insertion of peripheral nerve neurostimulator electrode through skin | 13 | $56.7K | $4.4K | 4.34x |
| 64624 | Destruction of genicular nerve branches of knee by injection using imaging guidance | 69 | $45.0K | $652.53 | 4.51x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 987 | $27.7K | $28.02 | 92.71x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 1.2K | $26.2K | $21.08 | 67.44x |
| 64454 | Injection of anesthetic agent and/or steroid into genicular nerve branches of knee using imaging guidance | 170 | $21.8K | $128.49 | 22.63x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 1.0K | $21.1K | $20.90 | 32.89x |
| 64510 | Injection of anesthetic agent, sympathetic nerve bundle | 66 | $17.4K | $263.58 | 8.48x |
This provider submits charges 6.55 times higher than what Medicare actually pays.
A markup ratio of 6.55x means for every $100 Medicare pays, this provider initially charges $655. 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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