This provider's $18.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.31x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% 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 | $2.9K | $546.80 | 5.36x | $2.4K | $1.7M | 2.4K | 1.8K |
| 2015 | $2.4K | $468.27 | 5.03x | $1.9K | $1.8M | 2.8K | 2.1K |
| 2016 | $2.5K | $556.88 | 4.54x | $2.0K | $1.9M | 2.9K | 2.1K |
| 2017 | $2.4K | $594.08 | 4.09x | $1.8K | $1.8M | 2.8K | 2.0K |
| 2018 | $2.6K | $666.60 | 3.83x | $1.9K | $1.9M | 2.7K | 2.0K |
| 2019 | $3.9K | $776.34 | 5.06x | $3.1K | $1.8M | 3.0K | 2.1K |
| 2020 | $5.4K | $813.44 | 6.69x | $4.6K | $1.2M | 1.9K | 1.4K |
| 2021 | $7.3K | $929.74 | 7.89x | $6.4K | $1.9M | 2.5K | 1.7K |
| 2022 | $7.7K | $983.62 | 7.85x | $6.7K | $2.0M | 2.7K | 1.9K |
| 2023 | $8.1K | $918.83 | 8.78x | $7.2K | $2.1M | 3.2K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.3K | $10.6M | $798.25 | 7.55x |
| 66982 | Removal of cataract with insertion of lens | 3.3K | $2.6M | $785.93 | 7.50x |
| 0191T | Internal insertion of eye fluid drainage device | 719 | $1.5M | $2.0K | 4.21x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.0K | $378.2K | $371.51 | 2.10x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 142 | $377.7K | $2.7K | 4.70x |
| 65820 | Incision to improve eye fluid flow | 261 | $374.5K | $1.4K | 8.87x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $343.3K | $199.95 | 8.49x |
| 66174 | Dilation to improve eye fluid flow | 316 | $333.1K | $1.1K | 11.71x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 1.6K | $198.2K | $120.44 | 20.73x |
| 66710 | Destruction of lens tissue using laser | 294 | $168.4K | $572.83 | 7.79x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 992 | $148.9K | $150.11 | 15.22x |
| 66183 | Insertion of eye fluid drainage device | 67 | $141.0K | $2.1K | 4.69x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 84 | $138.8K | $1.7K | 4.16x |
| 66987 | Complex removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 60 | $104.8K | $1.7K | 4.12x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 256 | $104.3K | $407.51 | 4.41x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 72 | $98.0K | $1.4K | 7.25x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.2K | $97.2K | $80.72 | 4.32x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 923 | $95.5K | $103.44 | 1.42x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 45 | $94.5K | $2.1K | 2.83x |
| 67010 | Partial removal of eye fluid between the lens and retina | 74 | $56.3K | $760.23 | 7.73x |
This provider submits charges 7.31 times higher than what Medicare actually pays.
A markup ratio of 7.31x means for every $100 Medicare pays, this provider initially charges $731. 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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