This provider's $6.9M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.49x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 86% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 120% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $4.9K | $612.87 | 7.93x | $4.2K | $473.9K | 690 | 580 |
| 2015 | $6.4K | $783.79 | 8.11x | $5.6K | $414.8K | 511 | 487 |
| 2016 | $5.8K | $907.93 | 6.39x | $4.9K | $912.9K | 1.2K | 960 |
| 2017 | $6.4K | $795.85 | 7.98x | $5.6K | $699.2K | 954 | 802 |
| 2018 | $6.3K | $842.92 | 7.45x | $5.4K | $657.9K | 825 | 696 |
| 2019 | $6.0K | $873.96 | 6.87x | $5.1K | $754.3K | 959 | 817 |
| 2020 | $5.7K | $831.37 | 6.80x | $4.8K | $612.5K | 771 | 677 |
| 2021 | $5.5K | $941.39 | 5.84x | $4.6K | $740.7K | 1.1K | 859 |
| 2022 | $5.1K | $868.40 | 5.89x | $4.2K | $719.9K | 1.1K | 919 |
| 2023 | $5.7K | $902.78 | 6.36x | $4.8K | $879.8K | 1.2K | 939 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 3.8K | $2.7M | $720.17 | 5.95x |
| 67042 | Removal of membrane from the retina, pars plana approach | 492 | $651.3K | $1.3K | 7.44x |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 240 | $434.6K | $1.8K | 4.86x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 258 | $336.4K | $1.3K | 5.00x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 254 | $333.6K | $1.3K | 5.95x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 153 | $204.1K | $1.3K | 7.39x |
| 66982 | Removal of cataract with insertion of lens | 257 | $187.2K | $728.59 | 6.47x |
| 28285 | Correction of toe joint deformity | 326 | $175.0K | $536.88 | 9.49x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 122 | $155.6K | $1.3K | 6.13x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 311 | $138.1K | $444.14 | 8.72x |
| 67904 | Repair of tendon of upper eyelid | 306 | $136.6K | $446.55 | 10.20x |
| 58558 | Biopsy and/or removal of polyp of the uterus using an endoscope | 144 | $116.4K | $808.40 | 5.03x |
| 28299 | Correction of bunion | 45 | $88.5K | $2.0K | 2.96x |
| 47563 | Removal of gallbladder with X-ray study of bile ducts using endoscope | 58 | $84.7K | $1.5K | 4.63x |
| 29880 | Removal of both knee cartilages using an endoscope | 95 | $80.1K | $842.82 | 9.58x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 53 | $71.6K | $1.4K | 5.79x |
| 31267 | Removal of nasal sinus tissue using an endoscope | 90 | $70.4K | $782.59 | 7.46x |
| V2785 | Processing, preserving and transporting corneal tissue | 21 | $67.8K | $3.2K | 1.28x |
| 29881 | Removal of one knee cartilage using an endoscope | 73 | $63.7K | $872.30 | 9.25x |
| 15822 | Removal of excessive skin of upper eyelid | 136 | $60.5K | $444.84 | 7.24x |
This provider submits charges 6.49 times higher than what Medicare actually pays.
A markup ratio of 6.49x means for every $100 Medicare pays, this provider initially charges $649. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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