This provider's $24.1M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 143% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $2.8K | $662.08 | 4.27x | $2.2K | $1.6M | 2.4K | 18 |
| 2015 | $2.7K | $659.29 | 4.09x | $2.0K | $1.8M | 2.7K | 20 |
| 2016 | $2.3K | $606.60 | 3.76x | $1.7K | $2.0M | 3.3K | 23 |
| 2017 | $2.0K | $555.12 | 3.60x | $1.4K | $2.4M | 4.4K | 21 |
| 2018 | $2.7K | $685.56 | 3.88x | $2.0K | $2.1M | 3.0K | 23 |
| 2019 | $2.0K | $524.15 | 3.73x | $1.4K | $2.2M | 4.3K | 24 |
| 2020 | $1.4K | $374.03 | 3.73x | $1.0K | $2.0M | 5.4K | 19 |
| 2021 | $924.15 | $268.99 | 3.44x | $655.16 | $3.1M | 11.7K | 24 |
| 2022 | $1.2K | $283.75 | 4.13x | $886.94 | $3.0M | 10.7K | 20 |
| 2023 | $1.0K | $262.35 | 3.95x | $774.76 | $3.8M | 14.6K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 14.0K | $10.2M | $727.01 | 4.32x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 23.1K | $1.8M | $78.80 | 3.17x |
| 0191T | Internal insertion of eye fluid drainage device | 864 | $1.6M | $1.9K | 1.35x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.4K | $1.3M | $372.64 | 2.67x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 9.3K | $961.8K | $103.11 | 1.69x |
| 52356 | Crushing of stone of ureter with insertion of stent using an endoscope | 648 | $930.6K | $1.4K | 2.62x |
| 52332 | Insertion of stent in ureter using an endoscope | 1.0K | $781.7K | $766.34 | 2.55x |
| 50590 | Shock wave crushing of kidney stones | 528 | $620.6K | $1.2K | 8.68x |
| 64590 | Insertion of peripheral or gastric neurostimulator generator | 46 | $603.7K | $13.1K | 2.26x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 714 | $511.0K | $715.63 | 4.33x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 2.7K | $490.6K | $184.57 | 9.81x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 190 | $435.9K | $2.3K | 4.72x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 662 | $326.1K | $492.62 | 8.00x |
| 64561 | Insertion of sacral nerve neurostimulator electrode array | 91 | $306.1K | $3.4K | 2.36x |
| 52352 | Removal or manipulation of stone in ureter or kidney using an endoscope | 288 | $246.5K | $855.95 | 3.19x |
| 67904 | Repair of tendon of upper eyelid | 468 | $241.9K | $516.99 | 6.37x |
| 52234 | Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm | 254 | $237.3K | $934.44 | 2.10x |
| 55700 | Biopsy of prostate gland | 404 | $227.3K | $562.50 | 3.54x |
| 52204 | Biopsy of bladder using an endoscope | 354 | $212.9K | $601.29 | 3.37x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 42 | $204.2K | $4.9K | 2.06x |
This provider submits charges 3.84 times higher than what Medicare actually pays.
A markup ratio of 3.84x means for every $100 Medicare pays, this provider initially charges $384. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data