This provider's $22.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 82% from 2014 to 2023.
76% 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 | $1.4K | $626.92 | 2.28x | $802.48 | $1.7M | 2.7K | 8 |
| 2015 | $1.4K | $626.38 | 2.29x | $810.49 | $1.7M | 2.7K | 7 |
| 2016 | $1.5K | $639.65 | 2.29x | $824.30 | $1.8M | 2.8K | 8 |
| 2017 | $1.5K | $651.46 | 2.24x | $810.63 | $1.8M | 2.7K | 7 |
| 2018 | $1.6K | $719.29 | 2.20x | $859.85 | $2.1M | 2.9K | 6 |
| 2019 | $1.8K | $723.08 | 2.52x | $1.1K | $2.5M | 3.5K | 7 |
| 2020 | $2.0K | $747.63 | 2.64x | $1.2K | $2.2M | 3.0K | 7 |
| 2021 | $1.8K | $708.00 | 2.57x | $1.1K | $2.8M | 3.9K | 7 |
| 2022 | $2.0K | $776.73 | 2.51x | $1.2K | $2.6M | 3.4K | 6 |
| 2023 | $1.9K | $767.69 | 2.48x | $1.1K | $3.1M | 4.1K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 22.1K | $17.0M | $770.21 | 2.39x |
| 0191T | Internal insertion of eye fluid drainage device | 892 | $1.9M | $2.1K | 2.05x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 4.7K | $924.2K | $197.94 | 3.55x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 326 | $825.1K | $2.5K | 1.97x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 822 | $635.8K | $773.44 | 2.40x |
| 65820 | Incision to improve eye fluid flow | 344 | $325.1K | $945.01 | 3.83x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 580 | $95.1K | $163.88 | 2.14x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 311 | $91.4K | $293.89 | 2.57x |
| V2785 | Processing, preserving and transporting corneal tissue | 27 | $84.9K | $3.1K | 1.33x |
| 65855 | Laser repair to improve eye fluid flow | 789 | $84.4K | $107.00 | 6.03x |
| 67904 | Repair of tendon of upper eyelid | 155 | $69.8K | $450.01 | 2.24x |
| 66030 | Injection of medication into eye | 63 | $51.8K | $822.17 | 2.43x |
| 67924 | Repair of turning-inward eyelid defect | 89 | $42.4K | $476.25 | 2.58x |
| 66174 | Dilation to improve eye fluid flow | 30 | $42.1K | $1.4K | 2.55x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 21 | $40.9K | $1.9K | 2.43x |
| 65756 | Transplantation of outer layer of corneal tissue | 26 | $38.7K | $1.5K | 3.97x |
| 67917 | Extensive repair of turning-outward eyelid defect | 84 | $33.3K | $396.56 | 2.36x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 300 | $29.5K | $98.43 | 2.03x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 56 | $22.5K | $401.61 | 2.53x |
| 68320 | Repair of conjunctiva | 13 | $6.3K | $482.38 | 1.97x |
This provider submits charges 2.43 times higher than what Medicare actually pays.
A markup ratio of 2.43x means for every $100 Medicare pays, this provider initially charges $243. This is higher than the national average.
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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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