This provider's $23.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
75% 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 | $2.5K | $744.23 | 3.42x | $1.8K | $2.4M | 3.9K | 2.9K |
| 2015 | $2.5K | $724.97 | 3.48x | $1.8K | $2.3M | 3.9K | 2.8K |
| 2016 | $2.4K | $658.57 | 3.69x | $1.8K | $2.2M | 3.8K | 2.8K |
| 2017 | $2.3K | $566.28 | 4.03x | $1.7K | $2.3M | 4.0K | 2.9K |
| 2018 | $2.6K | $755.21 | 3.44x | $1.8K | $2.7M | 4.3K | 3.0K |
| 2019 | $2.6K | $802.73 | 3.19x | $1.8K | $2.6M | 4.3K | 2.9K |
| 2020 | $2.7K | $723.69 | 3.68x | $1.9K | $2.2M | 3.4K | 2.3K |
| 2021 | $2.4K | $738.33 | 3.27x | $1.7K | $2.4M | 3.9K | 2.6K |
| 2022 | $2.6K | $757.73 | 3.45x | $1.9K | $2.4M | 3.7K | 2.5K |
| 2023 | $3.0K | $917.62 | 3.25x | $2.1K | $2.3M | 3.5K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 24.5K | $17.5M | $716.56 | 4.83x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 6.7K | $1.2M | $180.70 | 5.91x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $811.3K | $715.40 | 4.83x |
| 67041 | Removal of membrane from the retina | 519 | $634.5K | $1.2K | 3.83x |
| 67042 | Removal of membrane from the retina, pars plana approach | 440 | $572.4K | $1.3K | 3.60x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 341 | $429.4K | $1.3K | 3.35x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 271 | $351.9K | $1.3K | 3.25x |
| 65820 | Incision to improve eye fluid flow | 212 | $290.5K | $1.4K | 2.52x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 176 | $231.1K | $1.3K | 3.22x |
| V2785 | Processing, preserving and transporting corneal tissue | 75 | $223.0K | $3.0K | 1.31x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 572 | $221.4K | $387.11 | 3.95x |
| 67900 | Repair of brow paralysis | 427 | $172.1K | $403.03 | 4.83x |
| 67904 | Repair of tendon of upper eyelid | 320 | $148.9K | $465.27 | 4.19x |
| 67950 | Enlargement of eyelid margin | 267 | $136.8K | $512.24 | 3.80x |
| 66183 | Insertion of eye fluid drainage device | 65 | $122.3K | $1.9K | 2.27x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 710 | $97.0K | $136.61 | 4.43x |
| 65756 | Transplant of outer layer of corneal tissue | 74 | $95.1K | $1.3K | 3.33x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 638 | $66.8K | $104.66 | 5.01x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 28 | $66.5K | $2.4K | 2.22x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 102 | $36.7K | $359.51 | 1.39x |
This provider submits charges 4.64 times higher than what Medicare actually pays.
A markup ratio of 4.64x means for every $100 Medicare pays, this provider initially charges $464. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| The Eye Surgery Center Of The Carolinas Lp | Southern Pines, NC | $33.8M | ✓ 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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