This provider's $5.7M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 102% from 2019 to 2023.
64% 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.
Notable: Payments increased 66% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $1.8K | $539.27 | 3.32x | $1.3K | $633.5K | 1.2K | 801 |
| 2020 | $1.7K | $452.32 | 3.86x | $1.3K | $1.1M | 3.0K | 1.9K |
| 2021 | $2.0K | $528.11 | 3.73x | $1.4K | $1.4M | 3.6K | 2.3K |
| 2022 | $2.1K | $545.29 | 3.94x | $1.6K | $1.4M | 3.7K | 2.3K |
| 2023 | $2.1K | $515.78 | 4.11x | $1.6K | $1.3M | 3.6K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.2K | $3.6M | $692.86 | 4.33x |
| 0191T | Internal insertion of eye fluid drainage device | 259 | $495.6K | $1.9K | 1.46x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 3.2K | $335.9K | $104.49 | 2.40x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 144 | $313.1K | $2.2K | 2.67x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 3.5K | $279.4K | $79.80 | 2.27x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 789 | $129.9K | $164.67 | 10.93x |
| 66030 | Injection of medication into eye | 144 | $104.2K | $723.84 | 4.14x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 241 | $102.4K | $424.80 | 6.47x |
| 66982 | Removal of cataract with insertion of lens | 117 | $80.3K | $686.17 | 4.65x |
| 66174 | Dilation to improve eye fluid flow | 114 | $77.6K | $680.86 | 4.08x |
| 65820 | Incision to improve eye fluid flow | 104 | $68.5K | $658.35 | 3.11x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 144 | $23.3K | $162.08 | 1.85x |
| 67904 | Repair of tendon of upper eyelid | 43 | $18.1K | $420.64 | 4.79x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 152 | $12.7K | $83.33 | 21.44x |
| 66710 | Destruction of lens tissue using laser | 17 | $9.4K | $553.21 | 3.80x |
| 67924 | Extensive repair of turning-inward eyelid defect | 13 | $7.2K | $556.98 | 3.06x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 19 | $6.8K | $359.51 | 2.71x |
| 67900 | Repair of brow paralysis | 14 | $5.7K | $409.98 | 3.66x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 711 | $679.50 | $0.96 | 2.10x |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 109 | $60.67 | $0.56 | 1.80x |
This provider submits charges 3.97 times higher than what Medicare actually pays.
A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Hattiesburg Clinic Pa | Hattiesburg, MS | $40.0M | ✓ Clear |
| Madison Physician Surgery Center, Llc | Flowood, MS | $38.0M | ✓ 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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