This provider's $16.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 55% from 2014 to 2023.
66% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of 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 | $1.0K | $680.48 | 1.48x | $325.23 | $1.3M | 2.3K | 1.8K |
| 2015 | $1.0K | $690.45 | 1.46x | $318.21 | $1.4M | 2.3K | 1.8K |
| 2016 | $1.1K | $763.33 | 1.40x | $308.69 | $1.4M | 2.3K | 1.8K |
| 2017 | $1.2K | $815.46 | 1.48x | $391.61 | $1.4M | 2.4K | 1.8K |
| 2018 | $1.3K | $905.19 | 1.39x | $351.51 | $1.7M | 2.6K | 1.9K |
| 2019 | $2.7K | $765.41 | 3.52x | $1.9K | $1.8M | 2.9K | 2.1K |
| 2020 | $3.2K | $921.59 | 3.52x | $2.3K | $1.6M | 2.4K | 1.7K |
| 2021 | $2.9K | $880.71 | 3.24x | $2.0K | $1.9M | 2.7K | 1.9K |
| 2022 | $3.8K | $1.1K | 3.36x | $2.7K | $1.9M | 2.6K | 1.9K |
| 2023 | $3.3K | $1.0K | 3.23x | $2.3K | $2.1M | 2.7K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.8K | $10.3M | $748.10 | 2.85x |
| V2785 | Processing, preserving and transporting corneal tissue | 258 | $848.0K | $3.3K | 1.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.9K | $675.6K | $172.56 | 3.20x |
| 66982 | Removal of cataract with insertion of lens | 664 | $496.2K | $747.22 | 2.77x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 328 | $445.4K | $1.4K | 3.23x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 174 | $425.0K | $2.4K | 2.45x |
| 0191T | Internal insertion of eye fluid drainage device | 185 | $382.8K | $2.1K | 1.84x |
| 65756 | Transplant of outer layer of corneal tissue | 206 | $282.1K | $1.4K | 2.59x |
| 67042 | Removal of membrane from the retina, pars plana approach | 202 | $271.1K | $1.3K | 2.82x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 2.0K | $211.0K | $106.19 | 3.34x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 140 | $191.1K | $1.4K | 3.54x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 139 | $167.4K | $1.2K | 2.52x |
| 67041 | Removal of membrane from the retina | 133 | $157.8K | $1.2K | 1.95x |
| 67904 | Repair of tendon of upper eyelid | 297 | $140.0K | $471.23 | 2.78x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 347 | $137.0K | $394.70 | 2.41x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 65 | $127.5K | $2.0K | 2.80x |
| 67917 | Extensive repair of turning-outward eyelid defect | 263 | $118.8K | $451.65 | 3.05x |
| 67900 | Repair of brow paralysis | 299 | $116.6K | $389.85 | 2.85x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 87 | $115.0K | $1.3K | 1.86x |
| 66183 | Insertion of eye fluid drainage device | 53 | $97.9K | $1.8K | 2.36x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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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