This provider's $49.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 19.42x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 94% from 2014 to 2023.
61% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic 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 | $15.0K | $787.98 | 19.02x | $14.2K | $3.3M | 4.2K | 17 |
| 2015 | $15.6K | $719.58 | 21.65x | $14.9K | $4.1M | 5.7K | 21 |
| 2016 | $15.9K | $759.42 | 20.99x | $15.2K | $4.4M | 5.8K | 19 |
| 2017 | $15.6K | $781.87 | 19.93x | $14.8K | $5.1M | 6.5K | 20 |
| 2018 | $18.8K | $898.98 | 20.89x | $17.9K | $5.1M | 5.7K | 23 |
| 2019 | $18.6K | $873.74 | 21.33x | $17.8K | $5.2M | 6.0K | 22 |
| 2020 | $13.7K | $719.94 | 19.03x | $13.0K | $4.0M | 5.5K | 21 |
| 2021 | $10.4K | $581.88 | 17.90x | $9.8K | $5.5M | 9.4K | 18 |
| 2022 | $9.4K | $524.08 | 17.88x | $8.8K | $6.0M | 11.5K | 22 |
| 2023 | $7.9K | $467.04 | 16.98x | $7.5K | $6.5M | 13.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 33.1K | $28.9M | $871.62 | 23.41x |
| 0191T | Internal insertion of eye fluid drainage device | 1.7K | $3.6M | $2.1K | 2.32x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.3K | $2.7M | $830.03 | 26.88x |
| V2785 | Processing, preserving and transporting corneal tissue | 716 | $2.2M | $3.1K | 3.13x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 427 | $1.3M | $3.0K | 7.11x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 15.3K | $1.2M | $77.79 | 11.53x |
| 66174 | Dilation of fluid outflow drainage within eye | 782 | $969.2K | $1.2K | 5.62x |
| 65756 | Transplantation of outer layer of corneal tissue | 557 | $903.8K | $1.6K | 13.78x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 2.2K | $842.6K | $381.80 | 11.32x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 370 | $678.4K | $1.8K | 11.06x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 3.1K | $655.4K | $214.33 | 37.16x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 404 | $648.8K | $1.6K | 36.43x |
| 66183 | Insertion of eye fluid drainage device | 262 | $645.2K | $2.5K | 8.44x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 5.9K | $615.7K | $104.29 | 3.87x |
| 66986 | Exchange of prosthetic lens | 673 | $513.2K | $762.58 | 24.16x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 269 | $436.0K | $1.6K | 42.13x |
| 65820 | Incision to improve eye fluid flow | 178 | $278.1K | $1.6K | 10.77x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 84 | $198.0K | $2.4K | 2.10x |
| 66825 | Repositioning of lens prosthesis | 282 | $192.5K | $682.79 | 24.02x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 225 | $180.0K | $799.86 | 22.93x |
This provider submits charges 19.42 times higher than what Medicare actually pays.
A markup ratio of 19.42x means for every $100 Medicare pays, this provider initially charges $1942. 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 |
|---|---|---|---|
| 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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