This provider's $30.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
68% 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 73% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.5K | $684.75 | 3.66x | $1.8K | $2.7M | 4.0K | 16 |
| 2015 | $2.5K | $689.47 | 3.67x | $1.8K | $2.6M | 3.8K | 17 |
| 2016 | $2.6K | $734.50 | 3.52x | $1.9K | $3.0M | 4.0K | 17 |
| 2017 | $2.6K | $734.07 | 3.51x | $1.8K | $2.9M | 3.9K | 18 |
| 2018 | $2.6K | $773.12 | 3.39x | $1.8K | $3.2M | 4.1K | 19 |
| 2019 | $2.6K | $765.57 | 3.41x | $1.8K | $3.4M | 4.5K | 18 |
| 2020 | $2.5K | $738.65 | 3.39x | $1.8K | $2.2M | 3.0K | 13 |
| 2021 | $2.6K | $825.18 | 3.21x | $1.8K | $3.9M | 4.7K | 16 |
| 2022 | $2.7K | $809.29 | 3.37x | $1.9K | $3.5M | 4.3K | 18 |
| 2023 | $2.7K | $818.58 | 3.31x | $1.9K | $3.5M | 4.3K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 23.4K | $20.5M | $872.57 | 3.49x |
| 0191T | Internal insertion of eye fluid drainage device | 908 | $2.0M | $2.2K | 1.43x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 6.9K | $1.5M | $215.67 | 6.09x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.6K | $1.3M | $850.49 | 3.95x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 628 | $1.0M | $1.6K | 2.24x |
| V2785 | Processing, preserving and transporting corneal tissue | 232 | $752.8K | $3.2K | 1.27x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 242 | $679.6K | $2.8K | 2.58x |
| 66250 | Revision or repair of operative wound of eye | 467 | $306.6K | $656.60 | 2.96x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 566 | $305.6K | $539.92 | 3.92x |
| 65756 | Transplantation of outer layer of corneal tissue | 179 | $290.9K | $1.6K | 2.12x |
| 65855 | Laser repair to improve eye fluid flow | 2.1K | $258.4K | $122.11 | 11.22x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 154 | $240.3K | $1.6K | 2.32x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 134 | $217.7K | $1.6K | 2.23x |
| 67904 | Repair of tendon of upper eyelid | 312 | $176.8K | $566.60 | 4.01x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 1.0K | $156.4K | $154.68 | 6.38x |
| 65820 | Incision to improve eye fluid flow | 96 | $132.1K | $1.4K | 1.89x |
| 66174 | Dilation of fluid outflow drainage within eye | 79 | $124.4K | $1.6K | 2.44x |
| 67041 | Removal of membrane of retina | 76 | $123.5K | $1.6K | 2.23x |
| 66710 | Destruction of lens tissue using laser | 157 | $108.3K | $690.10 | 2.29x |
| 67145 | Photocoagulation treatment to prevent detachment of retina | 438 | $85.9K | $196.21 | 6.12x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| West Suburban Eye Surgery Center Llc | Waltham, MA | $37.4M | ✓ 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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