This provider's $25.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 140% from 2014 to 2023.
77% 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 | $651.87 | 3.30x | $1.5K | $1.6M | 2.4K | 7 |
| 2015 | $2.1K | $634.70 | 3.29x | $1.5K | $2.0M | 3.1K | 10 |
| 2016 | $2.1K | $644.84 | 3.22x | $1.4K | $2.2M | 3.4K | 11 |
| 2017 | $2.1K | $646.19 | 3.20x | $1.4K | $2.2M | 3.4K | 12 |
| 2018 | $2.1K | $667.51 | 3.11x | $1.4K | $2.5M | 3.8K | 13 |
| 2019 | $2.0K | $623.86 | 3.22x | $1.4K | $2.6M | 4.1K | 12 |
| 2020 | $1.7K | $564.02 | 3.08x | $1.2K | $2.4M | 4.3K | 13 |
| 2021 | $546.40 | $186.52 | 2.93x | $359.88 | $3.2M | 17.3K | 15 |
| 2022 | $1.3K | $473.40 | 2.84x | $869.44 | $3.3M | 7.0K | 13 |
| 2023 | $1.4K | $510.70 | 2.78x | $908.48 | $3.7M | 7.3K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 25.4K | $19.9M | $782.54 | 3.17x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 6.8K | $1.3M | $188.26 | 2.98x |
| V2785 | Processing, preserving and transporting corneal tissue | 328 | $1.1M | $3.3K | 1.31x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 9.2K | $729.3K | $78.85 | 1.32x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 768 | $602.9K | $785.06 | 3.16x |
| 0191T | Internal insertion of eye fluid drainage device | 239 | $462.9K | $1.9K | 3.51x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 847 | $400.1K | $472.33 | 4.64x |
| 65756 | Transplantation of outer layer of corneal tissue | 265 | $380.6K | $1.4K | 2.74x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 130 | $329.9K | $2.5K | 2.56x |
| 66986 | Exchange of prosthetic lens | 178 | $128.8K | $723.49 | 3.42x |
| 67031 | Release of scar tissue between lens and retina using a laser | 386 | $75.0K | $194.37 | 2.53x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 153 | $58.1K | $379.91 | 6.11x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 480 | $56.8K | $118.25 | 4.12x |
| 65400 | Removal of growth of cornea | 149 | $48.6K | $326.42 | 5.28x |
| 65860 | Laser removal of scar tissue in eye | 325 | $43.1K | $132.74 | 3.49x |
| 65855 | Laser repair to improve eye fluid flow | 360 | $41.2K | $114.49 | 4.05x |
| 65426 | Removal or relocation of corneal conjunctiva with graft | 50 | $32.6K | $652.79 | 3.70x |
| 65420 | Removal or relocation of corneal conjunctiva | 38 | $22.7K | $598.07 | 2.88x |
| 66985 | Insertion of lens prosthesis | 26 | $19.6K | $752.45 | 3.29x |
| 65730 | Transplantation of tissue from one cornea to other cornea | 13 | $18.9K | $1.5K | 2.71x |
This provider submits charges 3.06 times higher than what Medicare actually pays.
A markup ratio of 3.06x means for every $100 Medicare pays, this provider initially charges $306. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ 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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