This provider's $24.5M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 79% from 2014 to 2023.
61% 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 | $1.7K | $608.31 | 2.72x | $1.0K | $1.7M | 2.7K | 15 |
| 2015 | $1.6K | $595.67 | 2.74x | $1.0K | $1.8M | 3.1K | 16 |
| 2016 | $1.6K | $595.61 | 2.77x | $1.1K | $2.0M | 3.4K | 15 |
| 2017 | $1.2K | $527.14 | 2.35x | $711.00 | $2.6M | 4.9K | 19 |
| 2018 | $1.5K | $610.86 | 2.50x | $916.38 | $2.3M | 3.7K | 17 |
| 2019 | $979.19 | $414.24 | 2.36x | $564.95 | $2.7M | 6.6K | 17 |
| 2020 | $729.80 | $308.98 | 2.36x | $420.82 | $2.4M | 7.8K | 16 |
| 2021 | $502.41 | $231.83 | 2.17x | $270.58 | $3.2M | 13.9K | 16 |
| 2022 | $587.73 | $255.16 | 2.30x | $332.57 | $2.8M | 11.1K | 16 |
| 2023 | $606.81 | $261.82 | 2.32x | $344.99 | $3.0M | 11.4K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 20.4K | $14.9M | $729.17 | 2.54x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 28.8K | $2.3M | $79.50 | 1.57x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.4K | $1.3M | $366.16 | 1.37x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.6K | $1.1M | $717.17 | 2.86x |
| V2785 | Processing, preserving and transporting corneal tissue | 345 | $1.1M | $3.2K | 1.30x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.2K | $758.8K | $179.89 | 4.45x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.6K | $690.2K | $441.85 | 2.94x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.9K | $418.5K | $108.19 | 1.39x |
| 65756 | Transplantation of outer layer of corneal tissue | 299 | $394.1K | $1.3K | 1.84x |
| 67904 | Repair of tendon of upper eyelid | 772 | $363.8K | $471.27 | 3.19x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 121 | $193.9K | $1.6K | 1.63x |
| 68320 | Repair of eyelid lining with graft from external eye | 335 | $182.1K | $543.64 | 2.75x |
| 67966 | Removal of over 1/4 of eyelid margin and repair of eyelid | 342 | $126.4K | $369.58 | 3.40x |
| 65855 | Laser repair to improve eye fluid flow | 1.0K | $103.8K | $103.02 | 6.67x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 41 | $93.4K | $2.3K | 1.52x |
| 65400 | Removal of growth of cornea | 296 | $88.4K | $298.51 | 4.18x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 129 | $53.6K | $415.80 | 4.21x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 100 | $50.1K | $501.25 | 3.02x |
| 67917 | Extensive repair of turning-outward eyelid defect | 87 | $38.6K | $443.79 | 2.84x |
| 66179 | Creation of shunt to improve eye fluid flow | 26 | $33.5K | $1.3K | 1.65x |
This provider submits charges 2.42 times higher than what Medicare actually pays.
A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data