This provider's $22.1M in total Medicare payments ranks in the 99th 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.2K | $792.44 | 1.51x | $406.37 | $2.2M | 2.6K | 2.1K |
| 2015 | $1.2K | $813.41 | 1.46x | $372.98 | $2.0M | 2.4K | 1.9K |
| 2016 | $1.2K | $831.67 | 1.44x | $366.72 | $2.4M | 2.8K | 2.1K |
| 2017 | $1.2K | $818.98 | 1.51x | $416.55 | $2.4M | 3.0K | 2.3K |
| 2018 | $1.9K | $871.79 | 2.14x | $995.90 | $2.4M | 3.0K | 2.3K |
| 2019 | $2.1K | $858.72 | 2.41x | $1.2K | $2.5M | 3.0K | 2.3K |
| 2020 | $2.1K | $872.64 | 2.41x | $1.2K | $2.0M | 2.3K | 1.8K |
| 2021 | $2.5K | $973.79 | 2.54x | $1.5K | $2.1M | 2.5K | 1.9K |
| 2022 | $2.3K | $892.65 | 2.59x | $1.4K | $2.2M | 2.6K | 1.9K |
| 2023 | $2.5K | $885.29 | 2.81x | $1.6K | $2.0M | 3.5K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 14.3K | $10.6M | $742.63 | 2.43x |
| V2785 | Processing, preserving and transporting corneal tissue | 1.5K | $4.7M | $3.1K | 1.37x |
| 65756 | Transplant of outer layer of corneal tissue | 1.3K | $1.8M | $1.4K | 1.64x |
| 66982 | Removal of cataract with insertion of lens | 1.6K | $1.1M | $708.33 | 2.37x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.3K | $641.3K | $191.89 | 4.32x |
| 0191T | Internal insertion of eye fluid drainage device | 235 | $440.0K | $1.9K | 1.57x |
| 66180 | Creation of shunt to improve eye fluid flow | 245 | $385.4K | $1.6K | 1.53x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 206 | $270.4K | $1.3K | 1.77x |
| 67042 | Removal of membrane from the retina, pars plana approach | 186 | $249.0K | $1.3K | 1.97x |
| 66172 | Creation of eye fluid drainage tract | 239 | $178.8K | $748.03 | 2.60x |
| 67314 | Realignment of the eye with repair of one vertical muscle | 265 | $157.6K | $594.79 | 2.68x |
| 67010 | Partial removal of eye fluid between the lens and retina | 223 | $154.1K | $690.99 | 2.65x |
| 66986 | Exchange of lens prosthesis | 281 | $149.1K | $530.55 | 3.40x |
| 67311 | Realignment of the eye with repair of one horizontal eye muscle | 292 | $140.7K | $481.85 | 3.22x |
| 66170 | Creation of eye fluid drainage tract | 164 | $115.1K | $701.65 | 2.62x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 77 | $98.2K | $1.3K | 1.42x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.2K | $91.3K | $76.06 | 2.63x |
| 67904 | Repair of tendon of upper eyelid | 182 | $88.1K | $484.16 | 2.52x |
| 65400 | Removal of growth of cornea | 285 | $78.2K | $274.56 | 4.13x |
| 66710 | Destruction of lens tissue using laser | 128 | $77.9K | $608.43 | 2.25x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data