This provider's $7.0M in total Medicare payments ranks in the 95th 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.
Notable: Payments increased 277% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $539.25 | 3.38x | $1.3K | $993.9K | 1.7K | 1.3K |
| 2015 | $1.8K | $456.46 | 3.91x | $1.3K | $734.1K | 1.1K | 882 |
| 2016 | $2.8K | $642.27 | 4.34x | $2.1K | $937.0K | 1.2K | 947 |
| 2017 | $2.9K | $801.47 | 3.63x | $2.1K | $1.0M | 1.1K | 879 |
| 2018 | $2.5K | $748.22 | 3.36x | $1.8K | $902.9K | 1.1K | 880 |
| 2019 | $2.5K | $798.69 | 3.19x | $1.7K | $1.0M | 1.1K | 927 |
| 2020 | $3.7K | $874.93 | 4.22x | $2.8K | $95.3K | 111 | 101 |
| 2021 | $3.6K | $974.29 | 3.71x | $2.6K | $358.9K | 369 | 305 |
| 2022 | $3.6K | $963.00 | 3.76x | $2.7K | $445.4K | 456 | 374 |
| 2023 | $3.6K | $1.0K | 3.54x | $2.6K | $500.8K | 493 | 407 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 4.4K | $3.5M | $780.25 | 4.49x |
| 0191T | Internal insertion of eye fluid drainage device | 503 | $1.0M | $2.1K | 2.57x |
| 66174 | Dilation to improve eye fluid flow | 582 | $955.4K | $1.6K | 2.46x |
| 66982 | Removal of cataract with insertion of lens | 811 | $639.0K | $787.93 | 4.44x |
| 67904 | Repair of tendon of upper eyelid | 597 | $319.7K | $535.44 | 3.08x |
| 65820 | Incision to improve eye fluid flow | 277 | $228.2K | $823.76 | 4.82x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 984 | $190.0K | $193.13 | 4.66x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 101 | $50.8K | $502.82 | 2.10x |
| 66710 | Destruction of lens tissue using laser | 51 | $34.8K | $682.41 | 8.79x |
| 67010 | Partial removal of eye fluid between the lens and retina | 14 | $20.4K | $1.5K | 2.06x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 97 | $14.9K | $154.07 | 5.84x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 69 | $9.3K | $134.42 | 6.70x |
| 67228 | Laser destruction of leaking retinal blood vessels, 1 or more sessions | 47 | $9.2K | $196.53 | 4.58x |
| 65426 | Removal or relocation of corneal conjunctiva | 12 | $8.0K | $664.11 | 2.26x |
| 67921 | Suture repair of turning-inward eyelid defect | 13 | $6.9K | $529.78 | 1.89x |
| 67917 | Extensive repair of turning-outward eyelid defect | 11 | $6.1K | $551.56 | 1.81x |
| 65772 | Incisions to cornea to correct astigmatism | 23 | $4.3K | $188.02 | 13.30x |
| 67515 | Injection of medication or substance into membrane covering eyeball | 27 | $588.49 | $21.80 | 37.62x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ 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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