This provider's $38.7M in total Medicare payments ranks in the 99th 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 | $2.1K | $727.52 | 2.89x | $1.4K | $3.2M | 4.4K | 31 |
| 2015 | $2.1K | $716.13 | 2.96x | $1.4K | $3.1M | 4.3K | 27 |
| 2016 | $1.9K | $673.26 | 2.79x | $1.2K | $3.5M | 5.2K | 30 |
| 2017 | $1.7K | $643.42 | 2.60x | $1.0K | $4.1M | 6.4K | 30 |
| 2018 | $1.9K | $729.03 | 2.63x | $1.2K | $3.8M | 5.2K | 31 |
| 2019 | $679.17 | $254.75 | 2.67x | $424.42 | $4.1M | 15.9K | 30 |
| 2020 | $1.6K | $629.21 | 2.53x | $962.74 | $3.4M | 5.5K | 28 |
| 2021 | $1.7K | $690.23 | 2.46x | $1.0K | $4.2M | 6.0K | 27 |
| 2022 | $1.4K | $556.43 | 2.52x | $843.36 | $4.6M | 8.2K | 28 |
| 2023 | $304.49 | $124.31 | 2.45x | $180.18 | $4.7M | 38.2K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 22.3K | $17.0M | $763.89 | 3.18x |
| V2785 | Processing, preserving and transporting corneal tissue | 1.2K | $3.5M | $3.1K | 1.28x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 1.7K | $2.5M | $1.4K | 2.36x |
| 0191T | Internal insertion of eye fluid drainage device | 1.1K | $2.1M | $2.0K | 1.71x |
| 65756 | Transplantation of outer layer of corneal tissue | 916 | $1.3M | $1.4K | 2.02x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.5K | $1.1M | $741.57 | 3.48x |
| 66180 | Creation of shunt to improve eye fluid flow using tissue graft | 654 | $1.1M | $1.7K | 1.90x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 308 | $787.2K | $2.6K | 2.21x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 9.7K | $765.9K | $79.32 | 1.83x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 566 | $765.0K | $1.4K | 2.38x |
| 66170 | Creation of eye fluid drainage tract for treatment of glaucoma | 1.3K | $751.1K | $581.38 | 2.83x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.7K | $642.5K | $370.72 | 1.82x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 417 | $591.6K | $1.4K | 2.54x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 419 | $591.1K | $1.4K | 2.38x |
| 67039 | Destruction of eye fluid (vitreous) between lens and retina using a laser | 302 | $436.8K | $1.4K | 2.34x |
| 66986 | Exchange of prosthetic lens | 712 | $371.5K | $521.72 | 3.47x |
| 65820 | Incision to improve eye fluid flow | 244 | $358.1K | $1.5K | 2.10x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 138 | $274.1K | $2.0K | 1.91x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.3K | $257.7K | $193.07 | 5.30x |
| 67010 | Partial removal of eye fluid between lens and retina with mechanical removal of eye fluid | 346 | $248.4K | $717.95 | 1.70x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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