This provider's $18.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 89% 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 | $1.8K | $892.94 | 2.00x | $895.47 | $1.2M | 1.8K | 1.3K |
| 2015 | $1.7K | $849.42 | 2.05x | $889.15 | $1.3M | 2.0K | 1.4K |
| 2016 | $1.7K | $786.89 | 2.21x | $948.21 | $1.4M | 2.2K | 1.6K |
| 2017 | $1.7K | $855.30 | 2.05x | $893.90 | $1.6M | 2.4K | 1.6K |
| 2018 | $1.7K | $821.75 | 2.03x | $850.25 | $1.9M | 2.8K | 1.8K |
| 2019 | $1.8K | $875.26 | 2.10x | $959.51 | $2.1M | 3.1K | 2.1K |
| 2020 | $2.7K | $996.62 | 2.69x | $1.7K | $2.1M | 3.0K | 2.1K |
| 2021 | $3.6K | $905.25 | 3.95x | $2.7K | $2.2M | 4.7K | 3.1K |
| 2022 | $2.4K | $681.39 | 3.59x | $1.8K | $2.0M | 4.7K | 3.1K |
| 2023 | $4.0K | $931.07 | 4.29x | $3.1K | $2.3M | 4.7K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 15.4K | $11.7M | $760.94 | 2.42x |
| 0191T | Internal insertion of eye fluid drainage device | 572 | $1.0M | $1.8K | 1.67x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.7K | $925.1K | $194.96 | 4.11x |
| 65820 | Incision to improve eye fluid flow | 514 | $752.5K | $1.5K | 2.81x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 429 | $602.8K | $1.4K | 2.36x |
| 66982 | Removal of cataract with insertion of lens | 683 | $495.9K | $726.09 | 2.68x |
| V2785 | Processing, preserving and transporting corneal tissue | 112 | $393.5K | $3.5K | 3.98x |
| 67041 | Removal of membrane from the retina | 246 | $338.0K | $1.4K | 2.29x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 519 | $239.1K | $460.76 | 3.43x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 1.3K | $188.4K | $143.42 | 4.78x |
| 67042 | Removal of membrane from the retina, pars plana approach | 125 | $174.2K | $1.4K | 2.03x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.6K | $159.0K | $99.41 | 3.42x |
| 65756 | Transplant of outer layer of corneal tissue | 112 | $157.6K | $1.4K | 2.11x |
| 67904 | Repair of tendon of upper eyelid | 277 | $137.2K | $495.20 | 3.25x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 72 | $104.8K | $1.5K | 2.92x |
| 66174 | Dilation to improve eye fluid flow | 88 | $100.6K | $1.1K | 4.00x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 39 | $98.8K | $2.5K | 3.16x |
| 66820 | Removal of recurring cataract in lens capsule | 198 | $77.8K | $393.02 | 4.64x |
| 67900 | Repair of brow paralysis | 141 | $71.5K | $506.86 | 3.03x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 147 | $70.1K | $476.88 | 3.32x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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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