This provider's $10.4M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.68x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 64% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 119% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $3.0K | $594.90 | 5.04x | $2.4K | $887.8K | 1.5K | 1.3K |
| 2018 | $3.8K | $768.96 | 4.92x | $3.0K | $1.9M | 2.9K | 2.4K |
| 2019 | $4.0K | $765.95 | 5.25x | $3.3K | $1.7M | 2.4K | 2.0K |
| 2020 | $5.1K | $996.43 | 5.08x | $4.1K | $1.1M | 1.3K | 1.1K |
| 2021 | $5.0K | $1.0K | 4.99x | $4.0K | $1.7M | 1.7K | 1.5K |
| 2022 | $5.0K | $1.0K | 4.82x | $3.9K | $1.6M | 1.8K | 1.5K |
| 2023 | $4.8K | $964.33 | 5.02x | $3.9K | $1.5M | 1.6K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.6K | $3.6M | $797.65 | 7.13x |
| V2785 | Processing, preserving and transporting corneal tissue | 503 | $1.6M | $3.1K | 2.01x |
| 65756 | Transplant of outer layer of corneal tissue | 439 | $667.5K | $1.5K | 3.87x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 257 | $516.8K | $2.0K | 3.10x |
| 0191T | Internal insertion of eye fluid drainage device | 215 | $465.5K | $2.2K | 4.07x |
| 65820 | Incision to improve eye fluid flow | 294 | $356.6K | $1.2K | 4.60x |
| 66174 | Dilation to improve eye fluid flow | 309 | $328.7K | $1.1K | 9.78x |
| 66982 | Removal of cataract with insertion of lens | 330 | $254.7K | $771.78 | 6.99x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 794 | $223.7K | $281.68 | 7.33x |
| 45380 | Biopsy of large bowel using an endoscope | 621 | $215.2K | $346.56 | 7.58x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 879 | $212.5K | $241.72 | 11.30x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 472 | $197.7K | $418.87 | 5.29x |
| 66183 | Insertion of eye fluid drainage device | 69 | $147.3K | $2.1K | 2.92x |
| 67042 | Removal of membrane from the retina, pars plana approach | 93 | $144.1K | $1.5K | 3.79x |
| 19301 | Partial removal of breast | 174 | $127.4K | $732.43 | 4.18x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 46 | $122.0K | $2.7K | 3.01x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 297 | $119.4K | $401.92 | 4.71x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 260 | $103.4K | $397.59 | 7.07x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 44 | $94.8K | $2.2K | 3.80x |
| 67904 | Repair of tendon of upper eyelid | 170 | $90.6K | $532.90 | 14.74x |
This provider submits charges 5.68 times higher than what Medicare actually pays.
A markup ratio of 5.68x means for every $100 Medicare pays, this provider initially charges $568. 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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