This provider's $24.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
60% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of 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 | $2.6K | $853.94 | 3.00x | $1.7K | $2.5M | 3.2K | 2.6K |
| 2015 | $2.5K | $871.05 | 2.87x | $1.6K | $2.4M | 3.0K | 2.4K |
| 2016 | $2.6K | $843.08 | 3.04x | $1.7K | $2.5M | 3.1K | 2.5K |
| 2017 | $2.6K | $879.92 | 2.91x | $1.7K | $2.6M | 3.1K | 2.6K |
| 2018 | $2.8K | $1.0K | 2.71x | $1.8K | $2.9M | 3.4K | 2.7K |
| 2019 | $2.7K | $933.10 | 2.84x | $1.7K | $2.9M | 3.4K | 2.6K |
| 2020 | $2.6K | $984.46 | 2.61x | $1.6K | $1.8M | 2.2K | 1.7K |
| 2021 | $2.4K | $917.71 | 2.58x | $1.4K | $2.3M | 2.9K | 2.2K |
| 2022 | $2.8K | $1.1K | 2.66x | $1.8K | $2.0M | 2.4K | 1.9K |
| 2023 | $2.9K | $1.2K | 2.56x | $1.8K | $2.1M | 2.3K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 16.1K | $14.0M | $870.06 | 3.50x |
| 66982 | Removal of cataract with insertion of lens | 2.4K | $2.1M | $861.45 | 3.90x |
| V2785 | Processing, preserving and transporting corneal tissue | 623 | $1.9M | $3.0K | 1.27x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.6K | $750.8K | $208.97 | 6.29x |
| 65756 | Transplant of outer layer of corneal tissue | 469 | $750.7K | $1.6K | 2.15x |
| 0191T | Internal insertion of eye fluid drainage device | 244 | $570.6K | $2.3K | 1.37x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 369 | $543.5K | $1.5K | 2.46x |
| 67042 | Removal of membrane from the retina, pars plana approach | 306 | $478.9K | $1.6K | 2.31x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 212 | $332.6K | $1.6K | 2.31x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 191 | $297.7K | $1.6K | 2.32x |
| 67041 | Removal of membrane from the retina | 192 | $277.3K | $1.4K | 2.51x |
| 66170 | Creation of eye fluid drainage tract | 333 | $252.1K | $757.06 | 4.37x |
| 66710 | Destruction of lens tissue using laser | 272 | $186.9K | $687.10 | 2.30x |
| 66250 | Revision or repair of operative wound of eye | 310 | $159.1K | $513.18 | 3.67x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 53 | $148.4K | $2.8K | 2.59x |
| 67005 | Partial removal of eye fluid between the lens and retina | 155 | $126.5K | $816.12 | 3.58x |
| 66825 | Repositioning of lens prosthesis | 211 | $120.1K | $569.19 | 3.79x |
| 65820 | Incision to improve eye fluid flow | 71 | $116.7K | $1.6K | 1.58x |
| 67904 | Repair of tendon of upper eyelid | 191 | $109.3K | $572.41 | 3.70x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 813 | $101.0K | $124.20 | 11.04x |
This provider submits charges 3.31 times higher than what Medicare actually pays.
A markup ratio of 3.31x means for every $100 Medicare pays, this provider initially charges $331. 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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