This provider's $5.4M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
77% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $2.2K | $656.79 | 3.39x | $1.6K | $1.1M | 2.9K | 1.7K |
| 2021 | $2.3K | $633.06 | 3.64x | $1.7K | $1.5M | 4.6K | 2.6K |
| 2022 | $2.1K | $732.18 | 2.93x | $1.4K | $1.4M | 4.1K | 2.4K |
| 2023 | $1.3K | $446.27 | 2.82x | $810.28 | $1.4M | 4.0K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.4K | $4.2M | $778.34 | 3.11x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 4.7K | $500.4K | $105.43 | 2.07x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.8K | $381.5K | $78.95 | 2.45x |
| 66982 | Complex removal of cataract with insertion of lens | 226 | $176.2K | $779.75 | 3.26x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 423 | $78.6K | $185.78 | 3.85x |
| 0191T | Internal insertion of eye fluid drainage device | 28 | $57.2K | $2.0K | 3.28x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 25 | $47.5K | $1.9K | 3.56x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Roanoke Valley Center For Sight Llc | Salem, VA | $57.7M | ✓ Clear |
| Stony Point Surgery Center, L.L.C | Richmond, VA | $45.5M | ✓ Clear |
| Virginia Eye Institute Inc | Richmond, VA | $40.0M | ✓ 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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