This provider's $9.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.48x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 88% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2020
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 | $3.3K | $551.29 | 5.99x | $2.8K | $782.7K | 1.9K | 1.6K |
| 2015 | $3.4K | $582.33 | 5.91x | $2.9K | $791.8K | 1.9K | 1.6K |
| 2016 | $3.9K | $687.84 | 5.71x | $3.2K | $833.6K | 1.8K | 1.6K |
| 2017 | $3.3K | $512.25 | 6.43x | $2.8K | $679.6K | 1.9K | 1.6K |
| 2018 | $3.3K | $468.01 | 6.97x | $2.8K | $642.6K | 1.8K | 1.6K |
| 2019 | $3.9K | $710.68 | 5.49x | $3.2K | $836.4K | 2.0K | 1.7K |
| 2020 | $5.0K | $1.5K | 3.31x | $3.5K | $1.4M | 1.7K | 1.4K |
| 2021 | $4.1K | $1.3K | 3.26x | $2.9K | $1.1M | 1.7K | 1.4K |
| 2022 | $5.8K | $1.4K | 4.25x | $4.5K | $1.2M | 1.6K | 1.4K |
| 2023 | $10.5K | $1.9K | 5.48x | $8.5K | $1.5M | 1.3K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 49 | $1.0M | $21.4K | 1.81x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 2.8K | $814.9K | $294.39 | 5.50x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 141 | $576.2K | $4.1K | 3.27x |
| 29848 | Release of wrist ligament using an endoscope | 810 | $547.6K | $676.09 | 9.31x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 1.8K | $537.3K | $304.60 | 5.37x |
| 45380 | Biopsy of large bowel using an endoscope | 1.3K | $474.4K | $372.67 | 5.64x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 1.0K | $313.5K | $304.65 | 7.03x |
| 64628 | Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones | 35 | $312.5K | $8.9K | 5.75x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 505 | $304.6K | $603.10 | 5.23x |
| 29880 | Removal of both knee cartilages using an endoscope | 271 | $301.7K | $1.1K | 5.87x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 70 | $294.6K | $4.2K | 5.10x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 922 | $258.3K | $280.12 | 5.56x |
| 26055 | Incision of tendon covering | 523 | $238.1K | $455.21 | 6.63x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 554 | $235.9K | $425.86 | 5.27x |
| 27279 | Fusion of pelvic joint using imaging guidance | 14 | $216.4K | $15.5K | 5.00x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 20 | $178.7K | $8.9K | 2.80x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 628 | $170.3K | $271.18 | 6.29x |
| 25020 | Incision of tissue of forearm and/or wrist muscle compartment | 512 | $167.3K | $326.77 | 11.73x |
| 22612 | Fusion of spine in lower back | 11 | $158.1K | $14.4K | 3.50x |
| 28285 | Correction of toe joint deformity | 229 | $131.6K | $574.50 | 5.57x |
This provider submits charges 5.48 times higher than what Medicare actually pays.
A markup ratio of 5.48x means for every $100 Medicare pays, this provider initially charges $548. 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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