This provider's $4.5M in total Medicare payments ranks in the 93th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.83x 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 | $5.9K | $655.02 | 9.05x | $5.3K | $453.9K | 894 | 720 |
| 2015 | $5.7K | $698.78 | 8.10x | $5.0K | $487.5K | 886 | 714 |
| 2016 | $6.1K | $630.91 | 9.63x | $5.4K | $433.4K | 1.0K | 656 |
| 2017 | $5.2K | $603.91 | 8.66x | $4.6K | $458.7K | 966 | 640 |
| 2018 | $6.4K | $796.44 | 8.03x | $5.6K | $440.2K | 810 | 570 |
| 2019 | $6.5K | $781.81 | 8.34x | $5.7K | $449.3K | 925 | 625 |
| 2020 | $6.7K | $801.98 | 8.38x | $5.9K | $398.6K | 617 | 469 |
| 2021 | $7.2K | $819.54 | 8.73x | $6.3K | $412.8K | 607 | 447 |
| 2022 | $9.5K | $794.72 | 11.91x | $8.7K | $437.0K | 625 | 494 |
| 2023 | $10.5K | $829.82 | 12.66x | $9.7K | $480.8K | 642 | 511 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 67041 | Removal of membrane from the retina | 889 | $1.1M | $1.2K | 9.58x |
| 67042 | Removal of membrane from the retina, pars plana approach | 837 | $1.1M | $1.3K | 9.45x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 317 | $409.1K | $1.3K | 9.62x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 294 | $373.3K | $1.3K | 9.48x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 244 | $326.9K | $1.3K | 8.75x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 2.4K | $311.4K | $132.02 | 13.12x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 248 | $308.3K | $1.2K | 9.82x |
| 67210 | Laser destruction of retinal growth, 1 or more sessions | 1.5K | $260.8K | $173.21 | 9.68x |
| 67145 | Preventive retinal detachment treatment by heat or laser, 1 or more sessions | 723 | $110.4K | $152.72 | 12.14x |
| 67121 | Removal of implant material from inside the eye | 65 | $43.7K | $672.89 | 10.75x |
| 67220 | Destruction of vascular growth between retina and sclera, 1 or more sessions | 150 | $25.7K | $171.62 | 8.78x |
| 66180 | Creation of shunt to improve eye fluid flow | 24 | $23.6K | $982.06 | 5.80x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 51 | $22.7K | $446.05 | 7.53x |
| 66820 | Removal of recurring cataract in lens capsule | 52 | $17.6K | $339.08 | 21.03x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 38 | $14.8K | $389.92 | 4.35x |
| 67105 | Repair of detached retina, 1 or more sessions | 99 | $12.6K | $126.86 | 19.39x |
| 66985 | Insertion of lens prosthesis | 25 | $9.4K | $377.35 | 16.00x |
| 66710 | Destruction of lens tissue using laser | 16 | $8.7K | $541.08 | 2.77x |
| 67904 | Repair of tendon of upper eyelid | 18 | $8.3K | $463.70 | 7.25x |
| 67917 | Extensive repair of turning-outward eyelid defect | 14 | $7.0K | $500.18 | 1.60x |
This provider submits charges 9.83 times higher than what Medicare actually pays.
A markup ratio of 9.83x means for every $100 Medicare pays, this provider initially charges $983. 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 |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| 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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