This provider's $28.0M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
68% 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 | $1.7K | $551.64 | 3.01x | $1.1K | $2.4M | 4.3K | 15 |
| 2015 | $1.7K | $542.19 | 3.06x | $1.1K | $2.4M | 4.4K | 14 |
| 2016 | $1.7K | $546.97 | 3.07x | $1.1K | $2.4M | 4.4K | 14 |
| 2017 | $1.7K | $553.90 | 3.08x | $1.2K | $2.5M | 4.5K | 15 |
| 2018 | $1.7K | $568.75 | 3.04x | $1.2K | $2.5M | 4.4K | 15 |
| 2019 | $1.7K | $569.72 | 2.98x | $1.1K | $2.7M | 4.7K | 15 |
| 2020 | $1.7K | $604.30 | 2.79x | $1.1K | $2.5M | 4.2K | 15 |
| 2021 | $1.6K | $592.73 | 2.64x | $971.81 | $3.4M | 5.8K | 16 |
| 2022 | $1.5K | $583.64 | 2.59x | $928.17 | $3.6M | 6.2K | 19 |
| 2023 | $1.6K | $580.52 | 2.76x | $1.0K | $3.5M | 6.0K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 26.5K | $18.8M | $708.17 | 2.82x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 10.3K | $1.8M | $172.47 | 4.31x |
| V2785 | Processing, preserving and transporting corneal tissue | 346 | $1.1M | $3.3K | 1.68x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.6K | $1.1M | $704.55 | 3.41x |
| 0191T | Internal insertion of eye fluid drainage device | 580 | $1.1M | $1.8K | 1.46x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 411 | $530.1K | $1.3K | 2.26x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 189 | $443.2K | $2.3K | 1.49x |
| 67904 | Repair of tendon of upper eyelid | 968 | $436.5K | $450.89 | 4.28x |
| 65820 | Incision to improve eye fluid flow | 310 | $419.5K | $1.4K | 1.58x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 959 | $411.5K | $429.13 | 4.01x |
| 65756 | Transplantation of outer layer of corneal tissue | 306 | $398.8K | $1.3K | 2.21x |
| 65855 | Laser repair to improve eye fluid flow | 2.8K | $291.0K | $104.43 | 9.43x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 171 | $222.1K | $1.3K | 1.71x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 1.2K | $196.0K | $162.15 | 1.54x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 1.1K | $119.8K | $104.36 | 2.38x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 89 | $114.7K | $1.3K | 2.71x |
| 67917 | Extensive repair of turning-outward eyelid defect | 238 | $108.8K | $457.07 | 3.11x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 82 | $103.2K | $1.3K | 2.32x |
| 67924 | Extensive repair of turning-inward eyelid defect | 109 | $58.0K | $531.90 | 3.01x |
| 66030 | Injection of medication into eye | 64 | $41.1K | $642.16 | 1.83x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Physicians Eye Surgery Center Llc | Charleston, SC | $45.3M | ✓ Clear |
| The Southeastern Spine Institute Ambulatory Surgery Center, Llc | Mt. Pleasant, SC | $33.4M | ✓ 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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