This provider's $27.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 51% from 2014 to 2023.
70% 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 | $1.8K | $668.56 | 2.67x | $1.1K | $2.2M | 3.4K | 7 |
| 2015 | $1.8K | $639.30 | 2.74x | $1.1K | $2.1M | 3.3K | 10 |
| 2016 | $1.8K | $650.38 | 2.72x | $1.1K | $2.3M | 3.6K | 9 |
| 2017 | $1.8K | $681.08 | 2.66x | $1.1K | $2.5M | 3.7K | 9 |
| 2018 | $1.8K | $713.33 | 2.58x | $1.1K | $2.8M | 4.0K | 13 |
| 2019 | $1.7K | $721.04 | 2.32x | $953.96 | $3.0M | 4.2K | 13 |
| 2020 | $1.5K | $736.80 | 2.07x | $789.94 | $2.3M | 3.2K | 13 |
| 2021 | $1.3K | $632.40 | 2.02x | $645.24 | $3.2M | 5.0K | 14 |
| 2022 | $1.6K | $779.60 | 2.10x | $858.58 | $3.0M | 3.9K | 12 |
| 2023 | $1.7K | $818.23 | 2.05x | $857.09 | $3.4M | 4.1K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 24.4K | $18.8M | $771.90 | 2.40x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.0K | $2.3M | $768.20 | 2.42x |
| 0191T | Internal insertion of eye fluid drainage device | 724 | $1.4M | $1.9K | 1.41x |
| V2785 | Processing, preserving and transporting corneal tissue | 229 | $790.0K | $3.4K | 1.27x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.5K | $666.1K | $190.03 | 4.31x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 260 | $640.1K | $2.5K | 1.49x |
| 65855 | Laser repair to improve eye fluid flow | 2.7K | $305.8K | $114.42 | 7.18x |
| 65756 | Transplantation of outer layer of corneal tissue | 203 | $290.2K | $1.4K | 1.52x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 194 | $280.0K | $1.4K | 1.77x |
| 65820 | Incision to improve eye fluid flow | 253 | $262.4K | $1.0K | 2.10x |
| 67041 | Removal of membrane of retina | 171 | $228.1K | $1.3K | 1.89x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 85 | $193.4K | $2.3K | 1.28x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.4K | $156.3K | $109.36 | 1.28x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 782 | $110.1K | $140.74 | 5.85x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 42 | $104.0K | $2.5K | 1.48x |
| 66174 | Dilation to improve eye fluid flow | 65 | $89.5K | $1.4K | 1.31x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 44 | $84.1K | $1.9K | 1.36x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 44 | $61.1K | $1.4K | 1.70x |
| 66986 | Exchange of prosthetic lens | 68 | $51.6K | $758.23 | 2.24x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 28 | $41.5K | $1.5K | 1.73x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| West Suburban Eye Surgery Center Llc | Waltham, MA | $37.4M | ✓ 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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