This provider's $30.7M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.3K | $581.55 | 3.94x | $1.7K | $2.3M | 4.0K | 16 |
| 2015 | $2.0K | $536.91 | 3.70x | $1.4K | $2.9M | 5.4K | 19 |
| 2016 | $1.9K | $527.80 | 3.61x | $1.4K | $3.2M | 6.0K | 17 |
| 2017 | $1.9K | $520.50 | 3.63x | $1.4K | $3.2M | 6.2K | 16 |
| 2018 | $2.2K | $573.24 | 3.92x | $1.7K | $2.9M | 5.1K | 18 |
| 2019 | $749.94 | $207.41 | 3.62x | $542.53 | $3.7M | 17.8K | 21 |
| 2020 | $1.1K | $317.57 | 3.56x | $813.58 | $3.0M | 9.4K | 21 |
| 2021 | $939.62 | $267.10 | 3.52x | $672.52 | $3.1M | 11.7K | 17 |
| 2022 | $926.54 | $266.87 | 3.47x | $659.67 | $3.2M | 12.0K | 18 |
| 2023 | $887.04 | $260.11 | 3.41x | $626.93 | $3.2M | 12.2K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 23.8K | $16.9M | $709.81 | 4.16x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 30.2K | $2.4M | $79.91 | 1.56x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 11.9K | $2.2M | $184.04 | 5.72x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 5.1K | $1.9M | $373.90 | 1.34x |
| 0191T | Internal insertion of eye fluid drainage device | 1.0K | $1.7M | $1.7K | 2.28x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.7K | $1.2M | $703.82 | 4.30x |
| V2785 | Processing, preserving and transporting corneal tissue | 340 | $864.7K | $2.5K | 1.40x |
| 66179 | Creation of shunt to improve eye fluid flow | 438 | $612.4K | $1.4K | 2.50x |
| 65820 | Incision to improve eye fluid flow | 421 | $564.1K | $1.3K | 1.72x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 187 | $438.0K | $2.3K | 3.16x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 925 | $417.3K | $451.10 | 5.87x |
| 65756 | Transplantation of outer layer of corneal tissue | 214 | $286.8K | $1.3K | 2.43x |
| 65855 | Laser repair to improve eye fluid flow | 2.0K | $225.2K | $110.50 | 7.90x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 106 | $135.0K | $1.3K | 2.55x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 197 | $111.6K | $566.30 | 3.29x |
| 65400 | Removal of growth of cornea | 357 | $107.9K | $302.20 | 4.14x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 44 | $88.8K | $2.0K | 1.81x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 42 | $76.5K | $1.8K | 2.44x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 56 | $72.6K | $1.3K | 2.51x |
| 65426 | Removal or relocation of corneal conjunctiva with graft | 112 | $68.2K | $608.52 | 3.33x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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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