This provider's $13.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 101% from 2014 to 2023.
61% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of 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 | $3.3K | $1.0K | 3.27x | $2.3K | $929.4K | 1.1K | 882 |
| 2015 | $3.0K | $945.50 | 3.17x | $2.1K | $972.5K | 1.2K | 910 |
| 2016 | $3.1K | $955.60 | 3.24x | $2.1K | $1.1M | 1.4K | 1.0K |
| 2017 | $3.2K | $995.80 | 3.17x | $2.2K | $1.4M | 1.6K | 1.2K |
| 2018 | $3.4K | $1.1K | 3.07x | $2.3K | $1.4M | 1.7K | 1.3K |
| 2019 | $3.4K | $823.29 | 4.13x | $2.6K | $1.5M | 1.9K | 1.4K |
| 2020 | $4.5K | $1.2K | 3.76x | $3.3K | $1.3M | 1.4K | 1.1K |
| 2021 | $5.1K | $1.2K | 4.28x | $3.9K | $1.7M | 1.8K | 1.4K |
| 2022 | $4.1K | $1.0K | 4.07x | $3.1K | $1.7M | 1.9K | 1.4K |
| 2023 | $4.0K | $1.0K | 3.89x | $3.0K | $1.9M | 2.0K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.4K | $8.2M | $876.11 | 4.61x |
| 67042 | Removal of membrane from the retina, pars plana approach | 683 | $1.1M | $1.6K | 3.74x |
| 0191T | Internal insertion of eye fluid drainage device | 338 | $719.0K | $2.1K | 1.93x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 423 | $668.6K | $1.6K | 3.36x |
| 66982 | Removal of cataract with insertion of lens | 634 | $554.6K | $874.73 | 4.62x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $372.1K | $214.93 | 8.16x |
| V2785 | Processing, preserving and transporting corneal tissue | 111 | $334.7K | $3.0K | 2.06x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 80 | $236.1K | $3.0K | 2.51x |
| 66174 | Dilation to improve eye fluid flow | 164 | $210.5K | $1.3K | 3.41x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 94 | $149.9K | $1.6K | 3.28x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 87 | $145.8K | $1.7K | 4.46x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 69 | $112.3K | $1.6K | 3.84x |
| 65426 | Removal or relocation of corneal conjunctiva | 160 | $111.4K | $696.40 | 4.26x |
| 66682 | Repair of iris and lens tissue | 232 | $106.0K | $456.85 | 4.85x |
| 67904 | Repair of tendon of upper eyelid | 184 | $100.8K | $547.81 | 5.12x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 176 | $99.0K | $562.27 | 6.14x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 62 | $97.6K | $1.6K | 3.80x |
| 66986 | Exchange of lens prosthesis | 133 | $82.5K | $620.38 | 5.30x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 635 | $79.0K | $124.43 | 8.04x |
| 66180 | Creation of shunt to improve eye fluid flow | 54 | $78.0K | $1.4K | 2.38x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. This is higher than the national average.
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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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