This provider's $33.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
63% 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 | $2.2K | $649.78 | 3.44x | $1.6K | $3.3M | 5.0K | 20 |
| 2015 | $2.2K | $646.43 | 3.47x | $1.6K | $3.4M | 5.2K | 20 |
| 2016 | $2.2K | $634.60 | 3.51x | $1.6K | $3.4M | 5.4K | 21 |
| 2017 | $2.3K | $634.48 | 3.55x | $1.6K | $3.5M | 5.5K | 19 |
| 2018 | $2.2K | $635.18 | 3.49x | $1.6K | $3.4M | 5.3K | 22 |
| 2019 | $2.3K | $629.96 | 3.58x | $1.6K | $3.2M | 5.0K | 19 |
| 2020 | $2.3K | $684.98 | 3.31x | $1.6K | $2.7M | 4.0K | 15 |
| 2021 | $2.2K | $678.15 | 3.31x | $1.6K | $3.0M | 4.5K | 18 |
| 2022 | $974.60 | $308.12 | 3.16x | $666.48 | $3.6M | 11.7K | 20 |
| 2023 | $1.1K | $365.31 | 3.00x | $732.34 | $3.8M | 10.5K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 29.3K | $20.6M | $702.23 | 3.35x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 2.3K | $3.0M | $1.3K | 3.06x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 9.8K | $1.7M | $176.31 | 5.54x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.6K | $1.1M | $695.79 | 3.38x |
| V2785 | Processing, preserving and transporting corneal tissue | 317 | $934.9K | $2.9K | 1.43x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 671 | $846.2K | $1.3K | 3.09x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 9.9K | $752.8K | $76.08 | 1.97x |
| 67041 | Removal of membrane of retina | 495 | $617.8K | $1.2K | 3.12x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 358 | $456.7K | $1.3K | 4.55x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 343 | $423.6K | $1.2K | 3.16x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.6K | $370.8K | $103.58 | 3.36x |
| 65756 | Transplantation of outer layer of corneal tissue | 217 | $276.4K | $1.3K | 4.32x |
| 66183 | Insertion of eye fluid drainage device | 124 | $237.6K | $1.9K | 2.82x |
| 66172 | Creation of eye fluid drainage tract for treatment of glaucoma with previous scarring | 336 | $224.0K | $666.61 | 3.32x |
| 65820 | Incision to improve eye fluid flow | 156 | $201.5K | $1.3K | 3.10x |
| 67904 | Repair of tendon of upper eyelid | 350 | $180.6K | $516.09 | 3.59x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 76 | $176.9K | $2.3K | 3.16x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 306 | $148.1K | $484.08 | 4.15x |
| 67917 | Extensive repair of turning-outward eyelid defect | 250 | $140.1K | $560.26 | 3.30x |
| 66179 | Creation of shunt to improve eye fluid flow | 110 | $137.1K | $1.2K | 3.21x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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 |
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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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