This provider's $17.7M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 45612% from 2019 to 2023.
72% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic lens).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 32699% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $1.8K | $470.71 | 3.88x | $1.4K | $10.8K | 23 | 1 |
| 2020 | $1.6K | $728.84 | 2.24x | $906.26 | $3.6M | 4.9K | 15 |
| 2021 | $129.76 | $59.21 | 2.19x | $70.55 | $4.4M | 73.5K | 15 |
| 2022 | $40.53 | $18.12 | 2.24x | $22.41 | $4.9M | 269.2K | 15 |
| 2023 | $1.7K | $767.89 | 2.17x | $899.99 | $4.9M | 6.4K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 15.4K | $12.8M | $831.29 | 2.19x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.8K | $916.8K | $190.40 | 3.15x |
| 0191T | Internal insertion of eye fluid drainage device | 364 | $794.5K | $2.2K | 1.41x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 761 | $645.8K | $848.64 | 2.15x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 245 | $633.0K | $2.6K | 2.74x |
| V2785 | Processing, preserving and transporting corneal tissue | 109 | $418.2K | $3.8K | 1.66x |
| 66174 | Dilation of fluid outflow drainage within eye | 209 | $296.4K | $1.4K | 1.96x |
| 66183 | Insertion of eye fluid drainage device | 127 | $272.3K | $2.1K | 1.33x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 330.9K | $240.3K | $0.73 | 2.07x |
| 65756 | Transplantation of outer layer of corneal tissue | 104 | $164.6K | $1.6K | 4.42x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 80 | $161.9K | $2.0K | 1.40x |
| 66710 | Destruction of lens tissue using laser | 203 | $102.3K | $503.91 | 1.36x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 175 | $88.0K | $502.99 | 2.93x |
| 65820 | Incision to improve eye fluid flow | 48 | $38.3K | $797.01 | 2.19x |
| 66250 | Revision or repair of operative wound of eye | 50 | $33.7K | $673.42 | 1.71x |
| 65400 | Removal of growth of cornea | 85 | $28.4K | $334.30 | 3.44x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 37 | $27.3K | $738.63 | 2.12x |
| 66986 | Exchange of prosthetic lens | 38 | $24.1K | $634.89 | 2.87x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 216 | $21.7K | $100.59 | 1.93x |
| 67904 | Repair of tendon of upper eyelid | 30 | $15.0K | $501.05 | 2.56x |
This provider submits charges 2.21 times higher than what Medicare actually pays.
A markup ratio of 2.21x means for every $100 Medicare pays, this provider initially charges $221. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Olympia Orthopaedic Associates Pllc | Olympia, WA | $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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