This provider's $31.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 12.1x 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 | $6.3K | $1.0K | 6.21x | $5.3K | $3.0M | 6.3K | 6.1K |
| 2015 | $6.3K | $1.1K | 5.56x | $5.2K | $3.7M | 6.5K | 6.2K |
| 2016 | $6.7K | $1.2K | 5.62x | $5.5K | $3.3M | 6.1K | 5.9K |
| 2017 | $7.0K | $1.2K | 5.71x | $5.8K | $3.4M | 5.8K | 5.5K |
| 2018 | $7.3K | $1.3K | 5.44x | $6.0K | $3.5M | 6.2K | 5.9K |
| 2019 | $6.4K | $894.55 | 7.21x | $5.6K | $3.0M | 5.6K | 5.3K |
| 2020 | $6.3K | $894.16 | 7.03x | $5.4K | $2.4M | 4.3K | 4.1K |
| 2021 | $7.2K | $1.3K | 5.71x | $5.9K | $3.0M | 5.4K | 5.1K |
| 2022 | $8.2K | $1.3K | 6.15x | $6.9K | $2.9M | 5.3K | 5.1K |
| 2023 | $7.9K | $901.35 | 8.76x | $7.0K | $2.7M | 5.2K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 50590 | Shock wave crushing of kidney stones | 2.2K | $3.0M | $1.3K | 9.53x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 8.6K | $2.5M | $295.57 | 22.04x |
| 52005 | Insertion of catheter into urinary duct (ureter) using an endoscope | 3.7K | $2.4M | $663.76 | 9.76x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 5.4K | $2.3M | $416.31 | 15.77x |
| 55700 | Biopsy of prostate gland | 3.3K | $2.2M | $660.94 | 11.92x |
| 45380 | Biopsy of large bowel using an endoscope | 6.3K | $2.2M | $344.53 | 19.08x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 111 | $1.6M | $14.3K | 2.58x |
| 52235 | Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope | 1.3K | $1.4M | $1.1K | 6.19x |
| 52356 | Crushing of stone in urinary duct (ureter) with stent using an endoscope | 792 | $1.3M | $1.6K | 4.38x |
| 52240 | Destruction and/or removal of large growths of the bladder using an endoscope | 663 | $930.4K | $1.4K | 4.48x |
| 52332 | Insertion of stent in urinary duct (ureter) using an endoscope | 1.0K | $830.4K | $814.92 | 8.81x |
| 74420 | Imaging of urinary tract | 4.8K | $805.9K | $166.40 | 32.28x |
| 52234 | Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope | 699 | $734.4K | $1.1K | 5.98x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 2.1K | $677.0K | $329.46 | 18.89x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 111 | $647.5K | $5.8K | 2.75x |
| 52351 | Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope | 665 | $627.1K | $943.07 | 6.72x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.6K | $626.2K | $402.98 | 12.94x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 1.5K | $606.3K | $398.34 | 15.27x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 880 | $582.3K | $661.68 | 9.50x |
| 52601 | Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope | 286 | $463.8K | $1.6K | 6.65x |
This provider submits charges 12.1 times higher than what Medicare actually pays.
A markup ratio of 12.1x means for every $100 Medicare pays, this provider initially charges $1210. 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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