This provider's $4.3M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 68% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 125% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $6.3K | $1.4K | 4.48x | $4.9K | $594.0K | 344 | 305 |
| 2021 | $12.6K | $2.8K | 4.45x | $9.7K | $1.3M | 664 | 463 |
| 2022 | $12.9K | $2.9K | 4.50x | $10.0K | $1.4M | 653 | 443 |
| 2023 | $7.3K | $1.5K | 4.84x | $5.8K | $999.2K | 575 | 387 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation | 1.3K | $2.3M | $1.8K | 4.48x |
| 36905 | Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation | 253 | $1.1M | $4.2K | 4.46x |
| 36906 | Removal or dissolving of blood clot in dialysis circuit, with balloon dilation of dialysis segment and placement of stent, accessed through skin, with imaging | 32 | $287.8K | $9.0K | 4.41x |
| 36903 | Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation | 33 | $179.2K | $5.4K | 4.42x |
| 36581 | Replacement of central venous catheter | 116 | $135.6K | $1.2K | 5.42x |
| 36901 | Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation | 224 | $99.4K | $443.72 | 4.67x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older, tunneled | 59 | $65.6K | $1.1K | 4.65x |
| C7513 | Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a | 66 | $63.5K | $961.44 | 5.50x |
| 36589 | Removal of central venous catheter for infusion | 149 | $33.9K | $227.75 | 4.68x |
| 37248 | Balloon dilation of vein with review by radiologist, initial vein | 14 | $25.2K | $1.8K | 4.48x |
This provider submits charges 4.52 times higher than what Medicare actually pays.
A markup ratio of 4.52x means for every $100 Medicare pays, this provider initially charges $452. 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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