This provider's $76.6M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.7x is significantly above the specialty median of 6.1x.
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 | $3.1K | $815.24 | 3.80x | $2.3K | $6.7M | 8.2K | 36 |
| 2015 | $3.1K | $798.86 | 3.86x | $2.3K | $6.6M | 8.3K | 40 |
| 2016 | $8.3K | $814.95 | 10.15x | $7.5K | $7.1M | 8.7K | 41 |
| 2017 | $9.2K | $843.40 | 10.87x | $8.3K | $8.0M | 9.5K | 42 |
| 2018 | $9.0K | $844.06 | 10.66x | $8.2K | $8.6M | 10.2K | 45 |
| 2019 | $9.5K | $863.77 | 10.97x | $8.6K | $8.1M | 9.4K | 43 |
| 2020 | $10.0K | $930.12 | 10.78x | $9.1K | $6.6M | 7.1K | 39 |
| 2021 | $10.6K | $977.65 | 10.80x | $9.6K | $8.1M | 8.3K | 42 |
| 2022 | $11.4K | $1.0K | 11.36x | $10.4K | $8.4M | 8.4K | 40 |
| 2023 | $11.7K | $1.0K | 11.72x | $10.7K | $8.3M | 8.2K | 39 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 40.9K | $30.4M | $741.96 | 11.38x |
| V2785 | Processing, preserving and transporting corneal tissue | 3.0K | $8.8M | $3.0K | 1.28x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 2.3K | $3.7M | $1.6K | 7.14x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 2.5K | $3.5M | $1.4K | 9.60x |
| 65756 | Transplantation of outer layer of corneal tissue | 2.0K | $2.8M | $1.4K | 19.71x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.0K | $2.2M | $717.00 | 11.86x |
| 65820 | Incision to improve eye fluid flow | 1.5K | $2.2M | $1.4K | 7.07x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 1.6K | $2.1M | $1.3K | 7.35x |
| 67904 | Repair of tendon of upper eyelid | 4.0K | $1.9M | $474.66 | 11.98x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 1.2K | $1.7M | $1.4K | 7.96x |
| 66183 | Insertion of eye fluid drainage device | 764 | $1.5M | $2.0K | 6.63x |
| 0191T | Internal insertion of eye fluid drainage device | 547 | $1.1M | $2.0K | 6.29x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 737 | $1.0M | $1.4K | 10.35x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 493 | $1.0M | $2.1K | 5.36x |
| 66174 | Dilation of fluid outflow drainage within eye | 733 | $972.1K | $1.3K | 9.75x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 687 | $937.3K | $1.4K | 7.37x |
| 65730 | Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia) | 661 | $923.3K | $1.4K | 20.03x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.9K | $864.6K | $465.85 | 14.52x |
| 67039 | Destruction of eye fluid (vitreous) between lens and retina using a laser | 514 | $738.7K | $1.4K | 8.80x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.8K | $711.2K | $187.55 | 10.92x |
This provider submits charges 9.7 times higher than what Medicare actually pays.
A markup ratio of 9.7x means for every $100 Medicare pays, this provider initially charges $970. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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