This provider's $12.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 986% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 86% in 2016
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 | $5.1K | $697.82 | 7.33x | $4.4K | $204.4K | 454 | 364 |
| 2015 | $5.8K | $930.21 | 6.19x | $4.8K | $365.4K | 678 | 540 |
| 2016 | $8.0K | $1.8K | 4.37x | $6.2K | $679.1K | 668 | 548 |
| 2017 | $9.6K | $2.9K | 3.35x | $6.7K | $981.8K | 654 | 541 |
| 2018 | $10.4K | $3.6K | 2.89x | $6.8K | $1.3M | 709 | 561 |
| 2019 | $9.1K | $2.8K | 3.29x | $6.3K | $1.3M | 841 | 656 |
| 2020 | $10.1K | $3.1K | 3.23x | $7.0K | $1.2M | 576 | 495 |
| 2021 | $11.6K | $3.4K | 3.42x | $8.2K | $1.7M | 790 | 617 |
| 2022 | $9.9K | $2.2K | 4.55x | $7.7K | $2.0M | 1.3K | 1.1K |
| 2023 | $9.8K | $1.7K | 5.68x | $8.0K | $2.2M | 1.7K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 215 | $4.2M | $19.7K | 2.01x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 198 | $1.9M | $9.7K | 3.16x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 434 | $1.6M | $3.8K | 4.11x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 268 | $918.0K | $3.4K | 3.32x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 1.8K | $509.3K | $282.62 | 12.68x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 30 | $320.3K | $10.7K | 2.60x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 502 | $281.5K | $560.79 | 9.24x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 54 | $232.5K | $4.3K | 4.21x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 92 | $207.2K | $2.3K | 4.93x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 714 | $190.0K | $266.06 | 13.04x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 679 | $179.1K | $263.78 | 14.94x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 473 | $123.5K | $261.19 | 20.95x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 493 | $114.2K | $231.65 | 15.72x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 382 | $108.5K | $284.03 | 12.36x |
| 50590 | Shock wave crushing of kidney stones | 81 | $98.9K | $1.2K | 12.60x |
| 55700 | Biopsy of prostate gland | 136 | $92.0K | $676.28 | 10.33x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 138 | $90.2K | $653.29 | 8.09x |
| 29880 | Removal of both knee cartilages using an endoscope | 79 | $83.8K | $1.1K | 7.96x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 45 | $79.2K | $1.8K | 7.09x |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 300 | $70.0K | $233.17 | 32.16x |
This provider submits charges 4.92 times higher than what Medicare actually pays.
A markup ratio of 4.92x means for every $100 Medicare pays, this provider initially charges $492. 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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