This provider's $3.9M in total Medicare payments ranks in the 92th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $9.8K | $2.5K | 3.91x | $7.3K | $2.0M | 707 | 540 |
| 2023 | $9.8K | $2.4K | 4.11x | $7.4K | $1.9M | 961 | 509 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 676 | $1.2M | $1.8K | 6.65x |
| 36906 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist | 116 | $1.0M | $8.9K | 2.86x |
| 36903 | Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist | 180 | $971.5K | $5.4K | 2.23x |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 57 | $257.8K | $4.5K | 2.68x |
| 37248 | Balloon dilation of vein with review by radiologist, initial vein | 71 | $128.4K | $1.8K | 6.16x |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 250 | $86.0K | $343.92 | 18.06x |
| 36581 | Replacement of tunneled central venous tube | 78 | $68.9K | $882.96 | 5.57x |
| 36901 | Insertion of needle and/or tube into hemodialysis circuit with review by radiologist | 90 | $41.1K | $456.69 | 13.68x |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 36 | $36.7K | $1.0K | 4.80x |
| 36589 | Removal of tunneled central venous tube | 88 | $20.3K | $230.41 | 23.79x |
| 50200 | Needle biopsy of kidney | 14 | $7.1K | $509.16 | 10.73x |
| 36573 | Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older | 12 | $5.4K | $453.71 | 11.85x |
This provider submits charges 4.65 times higher than what Medicare actually pays.
A markup ratio of 4.65x means for every $100 Medicare pays, this provider initially charges $465. 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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