This provider's $18.1M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 87% from 2014 to 2023.
60% 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 | $2.1K | $735.17 | 2.81x | $1.3K | $1.3M | 1.9K | 1.4K |
| 2015 | $1.9K | $652.68 | 2.91x | $1.2K | $1.4M | 2.2K | 1.6K |
| 2016 | $2.3K | $800.00 | 2.83x | $1.5K | $1.4M | 2.3K | 1.6K |
| 2017 | $2.3K | $841.48 | 2.69x | $1.4K | $1.7M | 2.7K | 1.9K |
| 2018 | $2.4K | $944.80 | 2.51x | $1.4K | $1.8M | 2.5K | 1.8K |
| 2019 | $2.4K | $967.59 | 2.45x | $1.4K | $2.0M | 2.9K | 2.0K |
| 2020 | $2.5K | $1.1K | 2.31x | $1.4K | $1.8M | 2.4K | 1.6K |
| 2021 | $2.3K | $1.0K | 2.33x | $1.3K | $2.2M | 2.8K | 1.9K |
| 2022 | $2.6K | $1.2K | 2.21x | $1.4K | $2.3M | 2.8K | 1.9K |
| 2023 | $2.5K | $1.2K | 2.16x | $1.4K | $2.3M | 2.8K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 13.1K | $10.6M | $808.65 | 2.53x |
| V2785 | Processing, preserving and transporting corneal tissue | 466 | $1.4M | $3.0K | 1.28x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 5.9K | $1.2M | $202.13 | 3.45x |
| 0191T | Internal insertion of eye fluid drainage device | 372 | $800.7K | $2.2K | 1.58x |
| 66982 | Removal of cataract with insertion of lens | 937 | $752.3K | $802.84 | 2.82x |
| 65756 | Transplant of outer layer of corneal tissue | 353 | $516.7K | $1.5K | 3.23x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 169 | $438.4K | $2.6K | 1.73x |
| 28285 | Correction of toe joint deformity | 406 | $255.9K | $630.21 | 3.12x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 112 | $253.8K | $2.3K | 2.17x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 129 | $246.2K | $1.9K | 1.52x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 449 | $213.1K | $474.52 | 4.53x |
| 28308 | Incision to straighten toe bone | 182 | $144.9K | $795.98 | 2.50x |
| 66250 | Revision or repair of operative wound of eye | 205 | $130.6K | $636.99 | 1.57x |
| 66170 | Creation of eye fluid drainage tract | 182 | $127.4K | $699.80 | 3.20x |
| 28296 | Correction of bunion | 122 | $123.4K | $1.0K | 2.48x |
| 66225 | Removal of protrusion sclera or cornea with graft | 107 | $107.0K | $999.74 | 2.72x |
| 28299 | Correction of bunion | 55 | $104.8K | $1.9K | 1.97x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 637 | $94.0K | $147.59 | 4.07x |
| 67917 | Extensive repair of turning-outward eyelid defect | 158 | $78.6K | $497.16 | 5.10x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 48 | $74.9K | $1.6K | 1.63x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data