This provider's $40.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
61% 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 | $2.4K | $603.40 | 4.01x | $1.8K | $3.5M | 5.8K | 27 |
| 2015 | $2.4K | $587.80 | 4.13x | $1.8K | $3.3M | 5.6K | 25 |
| 2016 | $2.6K | $608.42 | 4.35x | $2.0K | $3.5M | 5.8K | 24 |
| 2017 | $2.5K | $592.83 | 4.23x | $1.9K | $3.9M | 6.5K | 23 |
| 2018 | $2.2K | $527.29 | 4.23x | $1.7K | $4.1M | 7.8K | 26 |
| 2019 | $2.1K | $492.31 | 4.34x | $1.6K | $4.4M | 8.9K | 29 |
| 2020 | $2.8K | $664.89 | 4.16x | $2.1K | $3.6M | 5.4K | 23 |
| 2021 | $2.2K | $544.48 | 3.97x | $1.6K | $4.3M | 7.8K | 21 |
| 2022 | $2.0K | $481.25 | 4.21x | $1.5K | $4.7M | 9.7K | 24 |
| 2023 | $2.4K | $509.97 | 4.78x | $1.9K | $4.8M | 9.4K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 31.8K | $23.5M | $737.48 | 4.37x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.5K | $2.6M | $729.57 | 4.49x |
| 65820 | Incision to improve eye fluid flow | 1.8K | $2.5M | $1.3K | 2.37x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 8.8K | $1.6M | $187.43 | 7.29x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.4K | $1.1M | $461.62 | 4.33x |
| V2785 | Processing, preserving and transporting corneal tissue | 413 | $1.1M | $2.6K | 1.31x |
| 67904 | Repair of tendon of upper eyelid | 2.0K | $925.9K | $474.35 | 3.99x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 8.3K | $860.6K | $103.22 | 2.06x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 433 | $593.0K | $1.4K | 3.72x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 407 | $555.2K | $1.4K | 3.13x |
| 0191T | Internal insertion of eye fluid drainage device | 276 | $482.8K | $1.7K | 2.69x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 269 | $396.3K | $1.5K | 2.24x |
| 65756 | Transplantation of outer layer of corneal tissue | 249 | $347.0K | $1.4K | 3.62x |
| 67041 | Removal of membrane of retina | 266 | $346.0K | $1.3K | 3.84x |
| 66179 | Creation of shunt to improve eye fluid flow | 238 | $342.8K | $1.4K | 3.32x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 179 | $238.0K | $1.3K | 3.18x |
| 67917 | Extensive repair of turning-outward eyelid defect | 462 | $225.2K | $487.48 | 3.17x |
| 66183 | Insertion of eye fluid drainage device | 161 | $210.3K | $1.3K | 3.51x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 145 | $200.1K | $1.4K | 3.20x |
| 66174 | Dilation of fluid outflow drainage within eye | 144 | $198.1K | $1.4K | 4.10x |
This provider submits charges 4.25 times higher than what Medicare actually pays.
A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ 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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