This provider's $13.5M in total Medicare payments ranks in the 98th 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.
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 | $1.4K | $723.74 | 1.95x | $689.62 | $2.4M | 5.2K | 4.7K |
| 2015 | $1.4K | $671.49 | 2.04x | $700.67 | $2.2M | 5.0K | 4.5K |
| 2016 | $1.3K | $661.33 | 2.04x | $688.15 | $1.8M | 4.3K | 3.6K |
| 2017 | $1.3K | $684.02 | 1.97x | $661.53 | $1.7M | 4.5K | 3.8K |
| 2018 | $1.2K | $501.50 | 2.33x | $667.27 | $1.2M | 3.7K | 3.1K |
| 2019 | $1.1K | $378.93 | 2.85x | $700.90 | $939.4K | 3.2K | 2.6K |
| 2020 | $1.1K | $480.10 | 2.37x | $657.10 | $690.5K | 2.2K | 1.8K |
| 2021 | $1.4K | $632.56 | 2.19x | $751.71 | $913.2K | 2.4K | 2.0K |
| 2022 | $1.1K | $403.14 | 2.82x | $731.97 | $909.5K | 2.8K | 2.3K |
| 2023 | $1.2K | $412.88 | 2.82x | $751.98 | $790.3K | 2.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.5K | $2.7M | $789.89 | 2.57x |
| 68320 | Repair of conjunctiva | 4.2K | $2.4M | $578.97 | 2.72x |
| 67924 | Repair of turning-inward eyelid defect | 3.5K | $1.9M | $537.65 | 2.79x |
| 67950 | Enlargement of eyelid margin | 4.2K | $1.5M | $362.99 | 2.62x |
| 0191T | Internal insertion of eye fluid drainage device | 711 | $1.2M | $1.7K | 1.57x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 6.2K | $747.8K | $120.89 | 5.52x |
| 67961 | Removal of up to one-fourth of the eyelid involving lid margin | 1.3K | $630.9K | $503.54 | 2.49x |
| V2785 | Processing, preserving and transporting corneal tissue | 173 | $517.3K | $3.0K | 1.29x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 764 | $328.0K | $429.33 | 3.49x |
| 67904 | Repair of tendon of upper eyelid | 588 | $279.9K | $475.97 | 3.15x |
| 66982 | Removal of cataract with insertion of lens | 237 | $190.2K | $802.62 | 2.09x |
| 65756 | Transplant of outer layer of corneal tissue | 122 | $188.5K | $1.5K | 1.39x |
| 68761 | Closure of tear duct opening using plug | 4.3K | $185.7K | $43.29 | 4.05x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 715 | $158.7K | $221.93 | 3.15x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 919 | $147.8K | $160.82 | 4.35x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 59 | $125.9K | $2.1K | 1.48x |
| 67825 | Removal of eyelashes | 3.5K | $121.7K | $34.96 | 5.01x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 169 | $63.2K | $374.25 | 1.60x |
| 65782 | Transplantation of stem cells from one cornea to other cornea | 30 | $43.6K | $1.5K | 1.48x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 14 | $21.9K | $1.6K | 1.37x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. 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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