This provider's $13.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
62% 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 | $1.5K | $469.05 | 3.10x | $983.65 | $1.2M | 2.4K | 1.5K |
| 2015 | $1.4K | $476.14 | 3.04x | $971.11 | $1.2M | 2.5K | 1.4K |
| 2016 | $1.4K | $471.23 | 2.87x | $882.22 | $1.8M | 4.0K | 2.3K |
| 2017 | $1.5K | $523.95 | 2.79x | $935.75 | $1.8M | 4.3K | 2.4K |
| 2018 | $1.6K | $536.91 | 2.94x | $1.0K | $1.4M | 3.4K | 2.0K |
| 2019 | $1.4K | $491.03 | 2.86x | $912.44 | $1.7M | 4.5K | 2.6K |
| 2020 | $1.4K | $479.67 | 2.91x | $916.60 | $1.1M | 4.0K | 2.4K |
| 2021 | $1.6K | $622.59 | 2.60x | $993.96 | $1.3M | 4.2K | 2.5K |
| 2022 | $1.6K | $609.28 | 2.55x | $942.55 | $1.2M | 3.7K | 2.2K |
| 2023 | $1.6K | $636.78 | 2.55x | $985.96 | $1.1M | 3.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 12.9K | $8.6M | $663.92 | 3.29x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.9K | $1.4M | $371.09 | 1.62x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 8.4K | $1.4M | $164.36 | 5.97x |
| 66982 | Removal of cataract with insertion of lens | 929 | $618.9K | $666.15 | 3.73x |
| 0191T | Internal insertion of eye fluid drainage device | 378 | $603.8K | $1.6K | 1.93x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.3K | $345.6K | $80.01 | 1.88x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 110 | $237.5K | $2.2K | 1.62x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 550 | $226.9K | $412.61 | 2.36x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 69 | $119.9K | $1.7K | 2.07x |
| 66710 | Destruction of lens tissue using laser | 335 | $109.8K | $327.68 | 4.23x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 858 | $80.6K | $93.90 | 2.50x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 482 | $45.7K | $94.87 | 9.91x |
| 67904 | Repair of tendon of upper eyelid | 81 | $34.3K | $422.95 | 2.40x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 134 | $33.9K | $253.29 | 2.57x |
| 67908 | Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis | 54 | $23.7K | $439.07 | 2.73x |
| 65820 | Incision to improve eye fluid flow | 21 | $22.9K | $1.1K | 3.12x |
| 66030 | Injection of medication into eye | 15 | $10.9K | $725.49 | 3.01x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 15 | $2.3K | $155.83 | 1.73x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 2.5K | $2.1K | $0.86 | 1.82x |
This provider submits charges 3.28 times higher than what Medicare actually pays.
A markup ratio of 3.28x means for every $100 Medicare pays, this provider initially charges $328. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | ✓ Clear |
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | ✓ 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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