This provider's $23.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.65x 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 | $3.3K | $759.47 | 4.29x | $2.5K | $3.0M | 6.2K | 5.6K |
| 2015 | $3.5K | $782.00 | 4.50x | $2.7K | $4.0M | 6.6K | 5.9K |
| 2016 | $3.7K | $761.91 | 4.84x | $2.9K | $3.9M | 6.4K | 5.7K |
| 2017 | $3.9K | $780.36 | 4.96x | $3.1K | $2.5M | 5.1K | 4.7K |
| 2018 | $3.7K | $547.18 | 6.81x | $3.2K | $1.9M | 4.3K | 4.0K |
| 2019 | $4.3K | $646.49 | 6.60x | $3.6K | $1.8M | 3.9K | 3.5K |
| 2020 | $6.1K | $734.55 | 8.33x | $5.4K | $1.2M | 2.6K | 2.4K |
| 2021 | $5.7K | $503.90 | 11.23x | $5.2K | $1.4M | 3.2K | 2.9K |
| 2022 | $6.5K | $579.08 | 11.23x | $5.9K | $1.5M | 3.4K | 3.1K |
| 2023 | $7.0K | $731.08 | 9.61x | $6.3K | $1.9M | 3.7K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.9K | $4.1M | $838.20 | 9.22x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 5.3K | $2.2M | $410.55 | 10.01x |
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 155 | $2.0M | $13.1K | 1.36x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 5.3K | $1.4M | $259.44 | 13.89x |
| 45380 | Biopsy of large bowel using an endoscope | 4.3K | $1.3M | $312.71 | 11.56x |
| 64721 | Release and/or relocation of median nerve of hand | 1.3K | $801.3K | $632.42 | 6.39x |
| 52000 | Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope | 2.8K | $690.5K | $247.22 | 14.40x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 1.0K | $613.6K | $605.74 | 6.86x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 150 | $515.2K | $3.4K | 1.75x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 139 | $458.9K | $3.3K | 2.55x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 1.1K | $435.4K | $384.93 | 13.60x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.3K | $416.9K | $312.51 | 12.51x |
| 26055 | Incision of tendon covering | 832 | $403.5K | $484.97 | 6.92x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.3K | $367.4K | $288.83 | 13.62x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 1.3K | $345.8K | $269.51 | 15.07x |
| 50590 | Shock wave crushing of kidney stones | 229 | $326.3K | $1.4K | 6.61x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.4K | $296.3K | $210.30 | 19.49x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 724 | $278.4K | $384.54 | 15.69x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 106 | $225.4K | $2.1K | 2.45x |
| 62311 | Injections of substances into lower or sacral spine | 747 | $224.1K | $299.95 | 10.82x |
This provider submits charges 8.65 times higher than what Medicare actually pays.
A markup ratio of 8.65x means for every $100 Medicare pays, this provider initially charges $865. 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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