This provider's $19.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.66x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 229% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 73% in 2019
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 | $3.9K | $628.14 | 6.23x | $3.3K | $857.5K | 1.3K | 923 |
| 2015 | $5.2K | $928.22 | 5.65x | $4.3K | $1.2M | 1.6K | 1.1K |
| 2016 | $6.3K | $1.2K | 5.43x | $5.1K | $1.3M | 1.6K | 1.2K |
| 2017 | $6.6K | $1.3K | 5.06x | $5.3K | $1.5M | 1.8K | 1.3K |
| 2018 | $8.0K | $1.4K | 5.83x | $6.6K | $1.5M | 1.8K | 1.3K |
| 2019 | $8.7K | $1.8K | 4.91x | $6.9K | $2.5M | 2.1K | 1.6K |
| 2020 | $8.7K | $1.9K | 4.56x | $6.8K | $2.2M | 1.4K | 1.1K |
| 2021 | $10.4K | $2.0K | 5.34x | $8.5K | $2.5M | 1.8K | 1.3K |
| 2022 | $11.4K | $2.3K | 5.01x | $9.1K | $2.7M | 1.7K | 1.3K |
| 2023 | $13.7K | $3.0K | 4.52x | $10.7K | $2.8M | 1.9K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.6K | $8.6M | $901.40 | 6.80x |
| 22867 | Insertion of stabilizing or separating device into lower spine at single level with open decompression | 360 | $4.3M | $12.0K | 2.94x |
| 0191T | Internal insertion of eye fluid drainage device | 356 | $880.5K | $2.5K | 5.12x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 103 | $788.5K | $7.7K | 5.88x |
| 67042 | Removal of membrane from the retina, pars plana approach | 377 | $631.6K | $1.7K | 5.51x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.0K | $630.0K | $208.81 | 8.26x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 182 | $550.8K | $3.0K | 6.66x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 278 | $470.5K | $1.7K | 5.53x |
| 67041 | Removal of membrane from the retina | 205 | $308.0K | $1.5K | 5.39x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 163 | $264.9K | $1.6K | 5.59x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 129 | $217.6K | $1.7K | 6.22x |
| 22856 | Insertion of artificial upper spine disc, anterior approach | 14 | $198.5K | $14.2K | 3.74x |
| V2785 | Processing, preserving and transporting corneal tissue | 63 | $187.9K | $3.0K | 4.46x |
| 66183 | Insertion of eye fluid drainage device | 65 | $173.3K | $2.7K | 5.06x |
| 66982 | Removal of cataract with insertion of lens | 166 | $145.6K | $877.25 | 7.10x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 79 | $129.5K | $1.6K | 5.81x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 347 | $123.9K | $357.01 | 6.17x |
| 65756 | Transplant of outer layer of corneal tissue | 50 | $79.3K | $1.6K | 4.51x |
| 64721 | Release and/or relocation of median nerve of hand | 61 | $45.2K | $741.48 | 5.56x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 312 | $37.9K | $121.51 | 19.31x |
This provider submits charges 5.66 times higher than what Medicare actually pays.
A markup ratio of 5.66x means for every $100 Medicare pays, this provider initially charges $566. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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