This provider's $12.7M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 88% from 2014 to 2023.
71% 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 | $1.2K | $429.51 | 2.73x | $741.92 | $817.3K | 1.6K | 1.1K |
| 2015 | $1.2K | $441.53 | 2.67x | $737.21 | $962.4K | 1.8K | 1.2K |
| 2016 | $1.1K | $440.79 | 2.61x | $708.67 | $1.2M | 2.2K | 1.4K |
| 2017 | $1.2K | $508.22 | 2.26x | $642.69 | $1.2M | 2.3K | 1.5K |
| 2018 | $1.4K | $622.48 | 2.20x | $746.61 | $1.2M | 2.3K | 1.5K |
| 2019 | $1.3K | $616.26 | 2.04x | $637.88 | $1.6M | 3.1K | 2.1K |
| 2020 | $1.4K | $712.13 | 1.90x | $642.24 | $1.3M | 2.9K | 1.9K |
| 2021 | $1.4K | $804.29 | 1.78x | $628.25 | $1.4M | 3.1K | 2.0K |
| 2022 | $1.2K | $616.40 | 1.99x | $610.48 | $1.4M | 3.6K | 2.2K |
| 2023 | $1.3K | $614.59 | 2.08x | $666.02 | $1.5M | 4.1K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.3K | $9.0M | $733.99 | 2.01x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 5.2K | $951.4K | $183.25 | 4.64x |
| 66982 | Removal of cataract with insertion of lens | 679 | $498.8K | $734.54 | 2.14x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.4K | $359.1K | $105.51 | 1.66x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 162 | $280.7K | $1.7K | 1.62x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 627 | $230.4K | $367.45 | 2.68x |
| 0191T | Internal insertion of eye fluid drainage device | 120 | $216.6K | $1.8K | 1.42x |
| 67042 | Removal of membrane from the retina, pars plana approach | 135 | $184.5K | $1.4K | 1.75x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 2.1K | $163.5K | $78.58 | 2.55x |
| 67904 | Repair of tendon of upper eyelid | 283 | $138.0K | $487.71 | 2.47x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 55 | $117.7K | $2.1K | 1.36x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 313 | $115.5K | $369.03 | 2.73x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 248 | $110.1K | $443.99 | 2.87x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 937 | $101.1K | $107.94 | 7.64x |
| 65820 | Incision to improve eye fluid flow | 52 | $60.5K | $1.2K | 1.71x |
| 67917 | Extensive repair of turning-outward eyelid defect | 81 | $46.4K | $572.99 | 2.11x |
| 15822 | Removal of excessive skin of upper eyelid | 44 | $22.1K | $501.17 | 2.00x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 153 | $20.1K | $131.46 | 1.79x |
| 66174 | Dilation to improve eye fluid flow | 15 | $19.7K | $1.3K | 1.53x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 12 | $17.1K | $1.4K | 1.40x |
This provider submits charges 2.25 times higher than what Medicare actually pays.
A markup ratio of 2.25x means for every $100 Medicare pays, this provider initially charges $225. 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 |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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