This provider's $17.3M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.8K | $1.1K | 2.62x | $1.7K | $1.8M | 1.5K | 1.1K |
| 2015 | $2.7K | $1.1K | 2.49x | $1.6K | $1.8M | 1.4K | 1.1K |
| 2016 | $2.4K | $964.38 | 2.52x | $1.5K | $1.7M | 1.5K | 1.1K |
| 2017 | $2.5K | $1.0K | 2.38x | $1.4K | $1.8M | 1.6K | 1.1K |
| 2018 | $2.7K | $1.0K | 2.66x | $1.7K | $1.8M | 1.5K | 1.1K |
| 2019 | $2.4K | $1.1K | 2.20x | $1.3K | $2.0M | 1.9K | 1.3K |
| 2020 | $2.6K | $1.1K | 2.32x | $1.5K | $1.5M | 1.2K | 916 |
| 2021 | $2.4K | $1.0K | 2.40x | $1.4K | $1.5M | 1.2K | 933 |
| 2022 | $2.3K | $1.0K | 2.24x | $1.3K | $1.9M | 1.8K | 1.3K |
| 2023 | $2.6K | $963.07 | 2.66x | $1.6K | $1.7M | 1.8K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| V2785 | Processing, preserving and transporting corneal tissue | 2.9K | $7.0M | $2.4K | 1.27x |
| 66984 | Removal of cataract with insertion of lens | 5.5K | $4.0M | $719.66 | 1.79x |
| 65756 | Transplant of outer layer of corneal tissue | 2.5K | $3.5M | $1.4K | 2.54x |
| 66982 | Removal of cataract with insertion of lens | 1.0K | $761.4K | $739.24 | 2.91x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 493 | $665.6K | $1.4K | 4.14x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 195 | $271.0K | $1.4K | 2.80x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 684 | $251.7K | $367.94 | 1.34x |
| 66986 | Exchange of lens prosthesis | 356 | $180.1K | $505.92 | 4.24x |
| 0191T | Internal insertion of eye fluid drainage device | 70 | $145.4K | $2.1K | 1.32x |
| 65730 | Transplantation of tissue from one cornea to other cornea | 75 | $105.3K | $1.4K | 2.63x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 1.2K | $91.1K | $78.60 | 2.31x |
| 66825 | Repositioning of lens prosthesis | 126 | $69.4K | $551.18 | 2.68x |
| 66710 | Destruction of lens tissue using laser | 106 | $66.4K | $626.49 | 1.81x |
| 66183 | Insertion of eye fluid drainage device | 39 | $52.9K | $1.4K | 1.59x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 18 | $45.6K | $2.5K | 1.28x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 14 | $29.4K | $2.1K | 1.29x |
| 65400 | Removal of growth of cornea | 92 | $22.8K | $247.79 | 4.50x |
| 65710 | Transplantation of tissue from one cornea to other cornea | 11 | $15.5K | $1.4K | 2.78x |
| 66985 | Insertion of lens prosthesis | 28 | $14.9K | $533.83 | 4.03x |
| 67010 | Partial removal of eye fluid between the lens and retina | 23 | $14.5K | $629.98 | 2.27x |
This provider submits charges 1.93 times higher than what Medicare actually pays.
A markup ratio of 1.93x means for every $100 Medicare pays, this provider initially charges $193. This is lower 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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