This provider's $39.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
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.
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 | $1.2K | $650.91 | 1.86x | $557.57 | $4.1M | 6.3K | 15 |
| 2015 | $1.3K | $635.86 | 2.02x | $651.35 | $3.7M | 5.8K | 15 |
| 2016 | $1.2K | $618.72 | 2.01x | $626.70 | $3.7M | 6.0K | 18 |
| 2017 | $1.3K | $621.37 | 2.04x | $646.02 | $4.0M | 6.4K | 19 |
| 2018 | $1.3K | $626.74 | 2.03x | $644.41 | $4.1M | 6.5K | 17 |
| 2019 | $1.3K | $612.67 | 2.07x | $653.30 | $3.9M | 6.4K | 17 |
| 2020 | $19.35 | $9.63 | 2.01x | $9.72 | $3.4M | 357.4K | 14 |
| 2021 | $13.11 | $6.60 | 1.99x | $6.51 | $4.6M | 691.1K | 20 |
| 2022 | $9.52 | $4.75 | 2.00x | $4.77 | $4.6M | 958.1K | 24 |
| 2023 | $1.3K | $696.56 | 1.88x | $612.59 | $3.9M | 5.6K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 38.3K | $28.0M | $730.08 | 1.92x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.1K | $2.3M | $726.66 | 1.92x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 2.0M | $1.6M | $0.80 | 2.32x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 7.7K | $1.4M | $180.62 | 2.71x |
| 0191T | Internal insertion of eye fluid drainage device | 666 | $1.3M | $1.9K | 1.84x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.9K | $1.3M | $442.22 | 2.50x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 323 | $427.1K | $1.3K | 1.82x |
| 65820 | Incision to improve eye fluid flow | 270 | $353.6K | $1.3K | 1.92x |
| 67904 | Repair of tendon of upper eyelid | 646 | $314.7K | $487.13 | 2.32x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 232 | $310.4K | $1.3K | 1.83x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 123 | $294.2K | $2.4K | 1.53x |
| 66174 | Dilation of fluid outflow drainage within eye | 218 | $259.0K | $1.2K | 2.17x |
| 66183 | Insertion of eye fluid drainage device | 93 | $193.9K | $2.1K | 1.75x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 147 | $186.2K | $1.3K | 1.83x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 1.0K | $162.4K | $157.54 | 1.91x |
| 67039 | Destruction of eye fluid (vitreous) between lens and retina using a laser | 120 | $157.8K | $1.3K | 1.85x |
| 65855 | Laser repair to improve eye fluid flow | 1.2K | $127.8K | $108.14 | 3.68x |
| 67900 | Repair of brow paralysis | 305 | $117.6K | $385.73 | 2.92x |
| 66710 | Destruction of lens tissue using laser | 201 | $99.6K | $495.46 | 2.15x |
| 67924 | Extensive repair of turning-inward eyelid defect | 164 | $97.8K | $596.61 | 1.88x |
This provider submits charges 1.99 times higher than what Medicare actually pays.
A markup ratio of 1.99x means for every $100 Medicare pays, this provider initially charges $199. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laser & Surgical Services At Center For Sight Llc | Sarasota, FL | $47.1M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ 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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