This provider's $7.2M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.33x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 424% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 90% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $6.5K | $852.14 | 7.67x | $5.7K | $408.3K | 740 | 632 |
| 2019 | $7.1K | $897.13 | 7.93x | $6.2K | $638.7K | 1.0K | 871 |
| 2020 | $10.2K | $1.2K | 8.30x | $9.0K | $829.4K | 843 | 761 |
| 2021 | $11.9K | $1.5K | 8.07x | $10.4K | $1.6M | 1.3K | 1.1K |
| 2022 | $12.0K | $1.4K | 8.28x | $10.5K | $1.6M | 1.4K | 1.2K |
| 2023 | $12.4K | $1.5K | 8.13x | $10.9K | $2.1M | 1.6K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 27447 | Repair of knee joint | 197 | $1.6M | $8.1K | 9.48x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 172 | $646.9K | $3.8K | 2.87x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 75 | $617.7K | $8.2K | 9.38x |
| 49650 | Repair of groin hernia using an endoscope | 335 | $541.4K | $1.6K | 7.95x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 228 | $494.0K | $2.2K | 3.75x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 1.4K | $398.6K | $283.06 | 9.49x |
| 64721 | Release and/or relocation of median nerve of hand | 510 | $363.4K | $712.63 | 8.10x |
| 26055 | Incision of tendon covering | 592 | $315.0K | $532.16 | 10.26x |
| 29880 | Removal of both knee cartilages using an endoscope | 265 | $312.1K | $1.2K | 9.15x |
| 47562 | Removal of gallbladder using an endoscope | 101 | $207.8K | $2.1K | 7.05x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 536 | $161.6K | $301.50 | 12.10x |
| 29881 | Removal of one knee cartilage using an endoscope | 137 | $161.4K | $1.2K | 8.98x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 55 | $151.8K | $2.8K | 3.35x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 513 | $145.9K | $284.32 | 9.78x |
| 29848 | Release of wrist ligament using an endoscope | 212 | $134.0K | $632.17 | 16.25x |
| 19380 | Revision of reconstructed breast | 73 | $115.6K | $1.6K | 10.35x |
| 20680 | Removal of deep bone implant | 80 | $74.1K | $926.82 | 9.55x |
| 25115 | Removal of fluid-filled sac (bursa) of wrist joint lining or forearm tendon | 140 | $73.8K | $527.28 | 10.76x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 230 | $65.2K | $283.44 | 9.49x |
| 25447 | Removal of bone joints between wrist and fingers | 73 | $62.2K | $852.43 | 8.69x |
This provider submits charges 8.33 times higher than what Medicare actually pays.
A markup ratio of 8.33x means for every $100 Medicare pays, this provider initially charges $833. 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 |
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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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