This provider's $23.1M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.86x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 166% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 144% 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 | $2.4K | $509.38 | 4.79x | $1.9K | $1.7M | 3.2K | 30 |
| 2015 | $2.5K | $536.50 | 4.63x | $1.9K | $1.7M | 3.2K | 27 |
| 2016 | $2.6K | $445.74 | 5.81x | $2.1K | $1.5M | 3.4K | 28 |
| 2017 | $2.7K | $436.66 | 6.25x | $2.3K | $1.4M | 3.1K | 27 |
| 2018 | $3.0K | $491.53 | 6.02x | $2.5K | $1.4M | 2.9K | 26 |
| 2019 | $3.0K | $458.29 | 6.65x | $2.6K | $1.4M | 3.1K | 29 |
| 2020 | $4.2K | $728.93 | 5.78x | $3.5K | $1.4M | 2.0K | 24 |
| 2021 | $10.2K | $1.7K | 5.99x | $8.5K | $3.5M | 2.1K | 25 |
| 2022 | $10.4K | $1.8K | 5.73x | $8.6K | $4.7M | 2.6K | 29 |
| 2023 | $10.5K | $1.6K | 6.40x | $8.9K | $4.4M | 2.7K | 29 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 584 | $4.1M | $7.0K | 6.98x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 419 | $3.0M | $7.1K | 6.89x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 1.1K | $2.1M | $1.9K | 3.00x |
| 29848 | Release of wrist ligament using an endoscope | 2.5K | $1.5M | $593.60 | 9.03x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 2.1K | $1.2M | $582.92 | 4.26x |
| 63685 | Insertion of spinal neurostimulator generator or receiver | 55 | $1.0M | $18.9K | 2.15x |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 3.5K | $820.8K | $233.99 | 10.28x |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 3.0K | $769.2K | $254.44 | 9.22x |
| 22869 | Placement of stabilizing device to lower spine level | 92 | $750.1K | $8.2K | 2.06x |
| 29881 | Removal of knee cartilage using an endoscope | 681 | $654.6K | $961.22 | 3.33x |
| 26055 | Incision of tendon covering of finger | 1.4K | $622.3K | $432.49 | 5.21x |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 2.4K | $565.4K | $232.76 | 11.20x |
| 28750 | Fusion of big toe at joint with foot | 188 | $528.5K | $2.8K | 2.66x |
| 29828 | Release of tendon connecting biceps muscle and shoulder using an endoscope | 226 | $484.3K | $2.1K | 3.92x |
| 29880 | Removal of both knee cartilages using an endoscope | 466 | $444.5K | $953.96 | 3.30x |
| 63655 | Removal of spine bone for insertion of neurostimulator electrode plate in spine | 22 | $300.4K | $13.7K | 2.07x |
| 29823 | Removal of extensive shoulder joint tissue using an endoscope | 338 | $274.3K | $811.52 | 7.11x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 353 | $265.6K | $752.42 | 4.35x |
| 62311 | Injections of substances into lower or sacral spine | 923 | $242.2K | $262.42 | 8.18x |
| 64721 | Release and/or relocation of hand nerve | 399 | $228.7K | $573.26 | 3.66x |
This provider submits charges 5.86 times higher than what Medicare actually pays.
A markup ratio of 5.86x means for every $100 Medicare pays, this provider initially charges $586. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data