This provider's $32.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 74% from 2014 to 2023.
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 | $3.3K | $682.44 | 4.78x | $2.6K | $2.4M | 3.5K | 14 |
| 2015 | $3.3K | $685.20 | 4.88x | $2.7K | $2.6M | 3.7K | 14 |
| 2016 | $3.3K | $676.24 | 4.95x | $2.7K | $2.6M | 3.9K | 15 |
| 2017 | $3.5K | $714.81 | 4.89x | $2.8K | $2.9M | 4.1K | 14 |
| 2018 | $3.8K | $784.80 | 4.79x | $3.0K | $3.2M | 4.1K | 13 |
| 2019 | $3.8K | $783.23 | 4.82x | $3.0K | $3.6M | 4.5K | 15 |
| 2020 | $3.0K | $651.88 | 4.67x | $2.4K | $3.4M | 5.3K | 18 |
| 2021 | $3.0K | $651.74 | 4.68x | $2.4K | $3.8M | 5.8K | 19 |
| 2022 | $3.7K | $797.68 | 4.67x | $2.9K | $4.1M | 5.1K | 18 |
| 2023 | $3.6K | $744.84 | 4.77x | $2.8K | $4.1M | 5.5K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 26.4K | $19.8M | $751.80 | 4.84x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 4.9K | $3.6M | $747.73 | 4.86x |
| V2785 | Processing, preserving and transporting corneal tissue | 729 | $2.2M | $3.0K | 1.39x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 1.3K | $1.8M | $1.4K | 5.61x |
| 65756 | Transplantation of outer layer of corneal tissue | 627 | $857.9K | $1.4K | 6.01x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 440 | $599.2K | $1.4K | 5.65x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 389 | $520.4K | $1.3K | 5.77x |
| 67904 | Repair of tendon of upper eyelid | 1.0K | $513.1K | $513.12 | 6.51x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 296 | $451.7K | $1.5K | 5.05x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 792 | $380.6K | $480.60 | 6.74x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 266 | $364.5K | $1.4K | 5.60x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.9K | $313.8K | $79.69 | 2.47x |
| 67900 | Repair of brow paralysis | 452 | $203.8K | $450.96 | 7.52x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 67 | $160.8K | $2.4K | 2.29x |
| 68720 | Creation of drainage tract from tear sac to the nasal cavity | 108 | $107.0K | $991.10 | 3.02x |
| 65820 | Incision to improve eye fluid flow | 74 | $92.0K | $1.2K | 2.39x |
| 66183 | Insertion of eye fluid drainage device | 37 | $77.4K | $2.1K | 4.33x |
| 67311 | Realignment of horizontal eye muscle | 145 | $75.3K | $519.10 | 7.35x |
| 0191T | Internal insertion of eye fluid drainage device | 31 | $65.3K | $2.1K | 2.96x |
| 68815 | Probing of nasal tear duct with insertion of tube or stent | 167 | $57.4K | $343.53 | 8.46x |
This provider submits charges 4.78 times higher than what Medicare actually pays.
A markup ratio of 4.78x means for every $100 Medicare pays, this provider initially charges $478. 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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