This provider's $57.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 129% 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 | $862.39 | $629.70 | 1.37x | $232.69 | $3.7M | 5.9K | 18 |
| 2015 | $877.74 | $634.56 | 1.38x | $243.18 | $4.0M | 6.3K | 17 |
| 2016 | $914.25 | $652.72 | 1.40x | $261.53 | $4.2M | 6.4K | 19 |
| 2017 | $969.89 | $696.09 | 1.39x | $273.80 | $4.8M | 6.9K | 22 |
| 2018 | $978.63 | $703.95 | 1.39x | $274.68 | $5.2M | 7.4K | 27 |
| 2019 | $326.76 | $221.63 | 1.47x | $105.13 | $5.3M | 23.8K | 27 |
| 2020 | $34.90 | $22.94 | 1.52x | $11.96 | $6.6M | 287.4K | 28 |
| 2021 | $53.03 | $36.12 | 1.47x | $16.91 | $7.6M | 210.6K | 27 |
| 2022 | $309.26 | $209.79 | 1.47x | $99.47 | $7.9M | 37.6K | 26 |
| 2023 | $327.18 | $221.41 | 1.48x | $105.77 | $8.4M | 38.1K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 45.5K | $32.8M | $719.35 | 1.39x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 63.8K | $5.0M | $78.83 | 1.95x |
| 0191T | Internal insertion of eye fluid drainage device | 1.6K | $2.9M | $1.9K | 1.31x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 18.7K | $1.9M | $102.50 | 1.33x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 10.9K | $1.8M | $163.35 | 1.53x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.5K | $1.8M | $718.63 | 1.38x |
| V2785 | Processing, preserving and transporting corneal tissue | 556 | $1.7M | $3.1K | 1.30x |
| 67041 | Removal of membrane of retina | 798 | $1.0M | $1.3K | 1.36x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 418 | $980.3K | $2.3K | 1.37x |
| 66183 | Insertion of eye fluid drainage device | 552 | $920.6K | $1.7K | 1.36x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 499 | $660.1K | $1.3K | 1.36x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.5K | $646.7K | $439.31 | 1.82x |
| 65756 | Transplantation of outer layer of corneal tissue | 472 | $627.0K | $1.3K | 1.35x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 464 | $603.8K | $1.3K | 1.36x |
| 66988 | Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 338 | $511.7K | $1.5K | 1.46x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 476.3K | $425.6K | $0.89 | 1.40x |
| 65820 | Incision to improve eye fluid flow | 388 | $403.2K | $1.0K | 1.54x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 287 | $388.2K | $1.4K | 1.37x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 244 | $363.8K | $1.5K | 1.32x |
| 67904 | Repair of tendon of upper eyelid | 659 | $306.2K | $464.59 | 1.74x |
This provider submits charges 1.45 times higher than what Medicare actually pays.
A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. This is lower 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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