This provider's $5.4M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 18.95x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 95% in 2021
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 | $10.7K | $650.37 | 16.38x | $10.0K | $611.3K | 1.1K | 911 |
| 2015 | $12.2K | $692.16 | 17.63x | $11.5K | $673.2K | 1.1K | 960 |
| 2016 | $11.8K | $651.35 | 18.16x | $11.2K | $631.5K | 1.1K | 999 |
| 2017 | $12.4K | $633.78 | 19.56x | $11.8K | $564.3K | 1.1K | 1.0K |
| 2018 | $10.5K | $559.94 | 18.74x | $9.9K | $591.6K | 1.2K | 1.1K |
| 2019 | $11.0K | $558.04 | 19.67x | $10.4K | $488.1K | 965 | 876 |
| 2020 | $12.4K | $683.17 | 18.08x | $11.7K | $392.4K | 733 | 636 |
| 2021 | $17.1K | $1.9K | 8.99x | $15.2K | $766.0K | 840 | 723 |
| 2022 | $11.6K | $573.49 | 20.30x | $11.1K | $358.8K | 705 | 642 |
| 2023 | $12.2K | $615.57 | 19.88x | $11.6K | $316.2K | 574 | 526 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 29848 | Release of wrist ligament using an endoscope | 1.9K | $1.3M | $726.42 | 22.26x |
| 26055 | Incision of tendon covering | 1.9K | $859.6K | $457.98 | 21.90x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.2K | $339.4K | $275.45 | 19.58x |
| 29880 | Removal of both knee cartilages using an endoscope | 259 | $285.4K | $1.1K | 14.17x |
| 26040 | Release of tissues of palm, accessed through the skin | 443 | $257.4K | $581.14 | 15.88x |
| 64721 | Release and/or relocation of median nerve of hand | 378 | $254.3K | $672.63 | 15.24x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 11 | $221.7K | $20.2K | 2.55x |
| 29881 | Removal of one knee cartilage using an endoscope | 175 | $189.0K | $1.1K | 14.37x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 112 | $171.1K | $1.5K | 19.80x |
| 25447 | Removal of bone joints between wrist and fingers | 166 | $144.5K | $870.71 | 27.90x |
| 26480 | Transplant of tendon of hand | 151 | $135.6K | $897.72 | 18.01x |
| 26160 | Removal of growth of tendon finger or hand | 231 | $128.4K | $555.79 | 16.20x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 465 | $124.4K | $267.63 | 20.18x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 205 | $123.0K | $600.06 | 20.58x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 444 | $118.0K | $265.68 | 23.77x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 48 | $103.8K | $2.2K | 14.07x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 24 | $89.5K | $3.7K | 4.30x |
| 25000 | Incision to repair tendon covering at wrist | 155 | $86.3K | $556.50 | 21.64x |
| 26210 | Removal or scraping of finger bone cyst or growth | 111 | $64.3K | $579.40 | 15.36x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 191 | $49.6K | $259.42 | 24.35x |
This provider submits charges 18.95 times higher than what Medicare actually pays.
A markup ratio of 18.95x means for every $100 Medicare pays, this provider initially charges $1895. 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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