This provider's $30.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 170% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 100% in 2016
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 | $1.7K | $822.71 | 2.12x | $921.81 | $1.1M | 1.3K | 11 |
| 2015 | $1.9K | $1.0K | 1.91x | $918.27 | $1.4M | 1.4K | 12 |
| 2016 | $2.5K | $1.4K | 1.76x | $1.1K | $2.8M | 2.0K | 11 |
| 2017 | $3.4K | $1.8K | 1.84x | $1.5K | $4.1M | 2.3K | 14 |
| 2018 | $3.9K | $2.2K | 1.80x | $1.7K | $5.4M | 2.5K | 17 |
| 2019 | $4.2K | $2.3K | 1.88x | $2.0K | $4.8M | 2.1K | 16 |
| 2020 | $8.0K | $3.1K | 2.61x | $4.9K | $3.4M | 1.1K | 16 |
| 2021 | $10.9K | $2.1K | 5.16x | $8.8K | $2.5M | 1.2K | 16 |
| 2022 | $8.1K | $2.3K | 3.56x | $5.8K | $2.1M | 909 | 13 |
| 2023 | $4.6K | $2.3K | 1.98x | $2.3K | $3.0M | 1.3K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator generator or receiver | 541 | $10.7M | $19.8K | 1.58x |
| 63650 | Insertion of spinal neurostimulator electrode array through skin | 2.3K | $8.8M | $3.8K | 1.78x |
| 22869 | Placement of stabilizing device to lower spine level | 263 | $2.7M | $10.1K | 2.02x |
| 27279 | Fusion of pelvic joint using imaging guidance | 169 | $2.0M | $11.8K | 2.16x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.2K | $1.4M | $651.25 | 3.28x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 83 | $1.0M | $12.1K | 2.13x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 2.3K | $618.0K | $267.06 | 7.68x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint | 736 | $481.2K | $653.84 | 3.44x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 1.6K | $436.1K | $264.80 | 5.85x |
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 1.5K | $385.0K | $260.63 | 5.91x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 96 | $353.3K | $3.7K | 2.33x |
| 63688 | Removal or revision of neurostimulator generator or receiver | 209 | $288.4K | $1.4K | 3.28x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 1.2K | $265.8K | $222.95 | 7.28x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 13 | $203.6K | $15.7K | 1.58x |
| 62321 | Injection of substance into middle or upper spine canal using imaging guidance | 704 | $183.0K | $260.01 | 10.19x |
| 64625 | Destruction of nerves supplying joint between spine and pelvis using imaging guidance | 199 | $124.0K | $623.18 | 12.84x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 27 | $115.0K | $4.3K | 2.78x |
| 63663 | Revision and replacement of spinal neurostimulator electrodes | 35 | $109.8K | $3.1K | 1.75x |
| 62350 | Implantation, revision, or repositioning of spinal canal medication catheter | 73 | $99.3K | $1.4K | 2.83x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 30 | $91.1K | $3.0K | 1.48x |
This provider submits charges 2.34 times higher than what Medicare actually pays.
A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. 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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