This provider's $7.0M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.19x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 72% from 2014 to 2023.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $3.7K | $687.66 | 5.36x | $3.0K | $613.2K | 1.1K | 989 |
| 2015 | $3.9K | $733.34 | 5.37x | $3.2K | $646.8K | 1.2K | 1.0K |
| 2016 | $3.9K | $617.67 | 6.36x | $3.3K | $592.9K | 1.2K | 1.1K |
| 2017 | $4.0K | $645.73 | 6.19x | $3.4K | $595.0K | 1.3K | 1.2K |
| 2018 | $4.0K | $672.72 | 6.01x | $3.4K | $640.3K | 1.4K | 1.2K |
| 2019 | $4.0K | $685.14 | 5.86x | $3.3K | $657.6K | 1.4K | 1.2K |
| 2020 | $4.0K | $643.11 | 6.28x | $3.4K | $582.6K | 1.2K | 1.1K |
| 2021 | $5.5K | $918.83 | 5.99x | $4.6K | $730.1K | 1.3K | 1.2K |
| 2022 | $9.4K | $1.2K | 7.98x | $8.2K | $849.7K | 1.4K | 1.2K |
| 2023 | $9.7K | $1.3K | 7.29x | $8.4K | $1.1M | 1.3K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 4.6K | $1.1M | $238.65 | 14.91x |
| 29848 | Release of wrist ligament using an endoscope | 1.4K | $829.2K | $576.66 | 8.21x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 472 | $811.1K | $1.7K | 3.25x |
| 29881 | Removal of one knee cartilage using an endoscope | 538 | $484.0K | $899.68 | 5.25x |
| 29823 | Extensive removal of shoulder joint tissue using an endoscope | 686 | $447.1K | $651.78 | 7.37x |
| 29880 | Removal of both knee cartilages using an endoscope | 416 | $377.6K | $907.69 | 5.56x |
| 29824 | Partial removal of collar bone at shoulder using an endoscope | 338 | $298.3K | $882.45 | 5.58x |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 43 | $286.3K | $6.7K | 8.41x |
| 27447 | Replacement of knee joint, both sides of knee | 43 | $282.1K | $6.6K | 8.54x |
| 26055 | Incision of tendon covering | 650 | $260.2K | $400.24 | 9.10x |
| 23412 | Repair of torn tendons of shoulder, open procedure | 166 | $227.2K | $1.4K | 5.24x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 959 | $216.5K | $225.80 | 15.81x |
| 29828 | Release of shoulder biceps tendon using an endoscope | 92 | $177.7K | $1.9K | 2.66x |
| 25447 | Removal of bone joints between wrist and fingers | 182 | $158.6K | $871.49 | 5.49x |
| 20680 | Removal of deep bone implant | 222 | $157.5K | $709.56 | 5.47x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 511 | $121.2K | $237.15 | 14.68x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 207 | $95.3K | $460.40 | 8.14x |
| 64721 | Release and/or relocation of median nerve of hand | 190 | $94.1K | $495.45 | 7.31x |
| 25609 | Open treatment of broken of lower forearm or growth plate separation with insertion of hardware 3 or more fragments | 25 | $77.3K | $3.1K | 3.40x |
| 26160 | Removal of growth of tendon finger or hand | 171 | $77.0K | $450.37 | 8.57x |
This provider submits charges 8.19 times higher than what Medicare actually pays.
A markup ratio of 8.19x means for every $100 Medicare pays, this provider initially charges $819. 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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