This provider's $12.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 11.64x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 112% from 2014 to 2023.
83% 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 | $7.2K | $737.32 | 9.71x | $6.4K | $788.6K | 1.0K | 781 |
| 2015 | $6.1K | $592.58 | 10.22x | $5.5K | $786.9K | 1.1K | 822 |
| 2016 | $5.4K | $559.88 | 9.68x | $4.9K | $971.6K | 1.4K | 1.0K |
| 2017 | $5.0K | $507.23 | 9.91x | $4.5K | $1.1M | 1.6K | 1.1K |
| 2018 | $5.3K | $503.62 | 10.45x | $4.8K | $1.2M | 1.7K | 1.2K |
| 2019 | $6.5K | $965.27 | 6.72x | $5.5K | $1.2M | 1.6K | 1.2K |
| 2020 | $7.3K | $874.58 | 8.33x | $6.4K | $1.2M | 1.5K | 1.0K |
| 2021 | $6.7K | $1.1K | 6.25x | $5.6K | $1.5M | 2.1K | 1.4K |
| 2022 | $8.4K | $1.1K | 7.95x | $7.4K | $1.5M | 2.3K | 1.5K |
| 2023 | $7.1K | $991.82 | 7.12x | $6.1K | $1.7M | 2.7K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.3K | $9.9M | $802.31 | 12.20x |
| 66982 | Removal of cataract with insertion of lens | 790 | $621.1K | $786.14 | 13.72x |
| 65820 | Incision to improve eye fluid flow | 235 | $349.4K | $1.5K | 2.98x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.0K | $202.1K | $102.71 | 5.64x |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $186.3K | $3.1K | 3.07x |
| 65756 | Transplant of outer layer of corneal tissue | 94 | $140.0K | $1.5K | 8.83x |
| 45380 | Biopsy of large bowel using an endoscope | 409 | $131.9K | $322.60 | 12.14x |
| 43239 | Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | 497 | $119.2K | $239.86 | 16.15x |
| 28285 | Correction of toe joint deformity | 97 | $65.5K | $674.85 | 11.03x |
| 0191T | Internal insertion of eye fluid drainage device | 48 | $63.8K | $1.3K | 6.47x |
| 45385 | Removal of polyps or growths of large bowel using an endoscope | 137 | $51.7K | $377.26 | 10.25x |
| 66710 | Destruction of lens tissue using laser | 79 | $50.4K | $637.44 | 4.84x |
| 67042 | Removal of membrane from the retina, pars plana approach | 33 | $48.3K | $1.5K | 5.47x |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 50 | $15.4K | $308.52 | 9.27x |
| 66180 | Creation of shunt to improve eye fluid flow | 11 | $14.8K | $1.3K | 6.60x |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 38 | $12.1K | $319.14 | 8.58x |
| 67005 | Partial removal of eye fluid between the lens and retina | 13 | $9.8K | $755.58 | 7.83x |
| 45378 | Diagnostic examination of large bowel using an endoscope | 26 | $8.7K | $332.85 | 9.91x |
This provider submits charges 11.64 times higher than what Medicare actually pays.
A markup ratio of 11.64x means for every $100 Medicare pays, this provider initially charges $1164. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dupage Eye Surgery Center, Llc | Wheaton, IL | $37.8M | ✓ 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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