This provider's $6.4M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.73x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 197% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 193% in 2019
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 | $7.2K | $544.83 | 13.26x | $6.7K | $297.2K | 559 | 378 |
| 2015 | $8.2K | $517.62 | 15.78x | $7.7K | $306.6K | 562 | 411 |
| 2016 | $8.2K | $485.45 | 16.87x | $7.7K | $328.6K | 596 | 422 |
| 2017 | $7.9K | $680.02 | 11.61x | $7.2K | $341.6K | 622 | 440 |
| 2018 | $8.2K | $792.26 | 10.31x | $7.4K | $280.3K | 333 | 251 |
| 2019 | $13.6K | $3.3K | 4.17x | $10.3K | $820.5K | 396 | 308 |
| 2020 | $14.2K | $3.7K | 3.81x | $10.5K | $1.1M | 414 | 343 |
| 2021 | $14.9K | $3.6K | 4.12x | $11.2K | $1.2M | 674 | 522 |
| 2022 | $19.7K | $3.1K | 6.42x | $16.6K | $913.5K | 574 | 442 |
| 2023 | $24.3K | $3.2K | 7.68x | $21.2K | $884.0K | 518 | 424 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 90 | $2.0M | $21.7K | 2.90x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 292 | $1.2M | $4.2K | 4.90x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 240 | $862.2K | $3.6K | 3.30x |
| 66984 | Removal of cataract with insertion of lens | 723 | $631.1K | $872.95 | 15.37x |
| 22869 | Insertion of stabilizing or separating device into lower spine at single level | 27 | $285.1K | $10.6K | 3.86x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 352 | $255.2K | $724.87 | 12.00x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 681 | $238.0K | $349.47 | 23.49x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 713 | $198.6K | $278.53 | 24.60x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 528 | $186.1K | $352.45 | 24.87x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 255 | $93.0K | $364.74 | 25.11x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 304 | $87.5K | $287.94 | 25.06x |
| 28285 | Correction of toe joint deformity | 121 | $82.6K | $682.37 | 15.53x |
| 62311 | Injections of substances into lower or sacral spine | 238 | $75.4K | $316.95 | 18.63x |
| 64633 | Destruction of upper or middle spinal facet joint nerves using imaging guidance | 89 | $66.2K | $744.37 | 16.20x |
| 49505 | Repair of groin hernia patient age 5 years or older | 49 | $64.2K | $1.3K | 12.21x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 285 | $62.5K | $219.42 | 27.89x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 31 | $36.1K | $1.2K | 12.50x |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 88 | $24.0K | $272.18 | 23.36x |
| 62310 | Injections of substances into upper or middle spine | 62 | $19.7K | $318.04 | 18.91x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 80 | $2.0K | $25.02 | 274.80x |
This provider submits charges 8.73 times higher than what Medicare actually pays.
A markup ratio of 8.73x means for every $100 Medicare pays, this provider initially charges $873. 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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