This provider's $27.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 5.15x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 95% from 2014 to 2023.
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 | $5.3K | $1.0K | 5.24x | $4.3K | $1.7M | 1.7K | 10 |
| 2015 | $5.8K | $1.1K | 5.51x | $4.8K | $2.0M | 1.9K | 12 |
| 2016 | $5.7K | $1.0K | 5.53x | $4.7K | $2.3M | 2.3K | 13 |
| 2017 | $4.9K | $958.92 | 5.10x | $3.9K | $2.7M | 2.8K | 13 |
| 2018 | $5.8K | $1.1K | 5.08x | $4.6K | $2.7M | 2.4K | 15 |
| 2019 | $4.4K | $864.19 | 5.10x | $3.5K | $3.2M | 3.7K | 18 |
| 2020 | $3.2K | $659.34 | 4.91x | $2.6K | $2.5M | 3.8K | 14 |
| 2021 | $2.4K | $508.43 | 4.82x | $1.9K | $3.6M | 7.0K | 15 |
| 2022 | $2.4K | $456.24 | 5.37x | $2.0K | $3.7M | 8.1K | 13 |
| 2023 | $2.6K | $502.22 | 5.08x | $2.1K | $3.3M | 6.6K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 15.1K | $15.1M | $1.0K | 5.80x |
| 0191T | Internal insertion of eye fluid drainage device | 913 | $2.3M | $2.5K | 4.24x |
| V2785 | Processing, preserving and transporting corneal tissue | 566 | $1.7M | $2.9K | 3.03x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 16.1K | $1.3M | $79.20 | 5.02x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 536 | $1.2M | $2.2K | 3.85x |
| 65756 | Transplantation of outer layer of corneal tissue | 547 | $1.0M | $1.9K | 4.05x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 248 | $854.7K | $3.4K | 5.75x |
| 65820 | Incision to improve eye fluid flow | 421 | $720.9K | $1.7K | 4.20x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.6K | $590.2K | $370.02 | 4.40x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 518 | $518.6K | $1.0K | 5.48x |
| 66183 | Insertion of eye fluid drainage device | 196 | $509.6K | $2.6K | 3.56x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 120 | $327.3K | $2.7K | 3.98x |
| 66174 | Dilation of fluid outflow drainage within eye | 180 | $281.4K | $1.6K | 4.44x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 118 | $204.5K | $1.7K | 3.87x |
| 66710 | Destruction of lens tissue using laser | 237 | $196.6K | $829.47 | 4.15x |
| 65426 | Removal or relocation of corneal conjunctiva with graft | 221 | $192.9K | $872.90 | 6.47x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 71 | $177.1K | $2.5K | 3.71x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 719 | $174.6K | $242.90 | 7.75x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.2K | $124.3K | $103.89 | 4.66x |
| 66175 | Dilation with insertion of device or stent to improve eye fluid flow | 64 | $110.8K | $1.7K | 3.97x |
This provider submits charges 5.15 times higher than what Medicare actually pays.
A markup ratio of 5.15x means for every $100 Medicare pays, this provider initially charges $515. 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 |
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