This provider's $47.1M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
63% 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 | $1.6K | $564.87 | 2.79x | $1.0K | $3.9M | 6.9K | 24 |
| 2015 | $1.7K | $568.11 | 2.96x | $1.1K | $4.2M | 7.4K | 22 |
| 2016 | $1.7K | $581.46 | 2.91x | $1.1K | $4.3M | 7.5K | 19 |
| 2017 | $1.8K | $606.38 | 2.91x | $1.2K | $4.5M | 7.4K | 20 |
| 2018 | $1.7K | $601.55 | 2.86x | $1.1K | $4.8M | 8.1K | 19 |
| 2019 | $1.8K | $609.58 | 2.97x | $1.2K | $4.8M | 7.8K | 20 |
| 2020 | $1.7K | $617.96 | 2.74x | $1.1K | $4.2M | 6.8K | 20 |
| 2021 | $1.2K | $468.45 | 2.61x | $754.24 | $5.2M | 11.2K | 20 |
| 2022 | $1.0K | $401.23 | 2.60x | $640.85 | $5.4M | 13.3K | 21 |
| 2023 | $668.15 | $257.80 | 2.59x | $410.35 | $5.8M | 22.5K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 38.3K | $28.7M | $750.70 | 2.79x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 19.3K | $3.3M | $169.55 | 2.95x |
| 0191T | Internal insertion of eye fluid drainage device | 1.6K | $3.1M | $1.9K | 2.52x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 4.0K | $1.9M | $462.66 | 3.35x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 21.9K | $1.7M | $76.19 | 2.74x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 2.2K | $1.6M | $739.70 | 2.83x |
| V2785 | Processing, preserving and transporting corneal tissue | 374 | $1.2M | $3.2K | 1.70x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 466 | $1.2M | $2.5K | 2.54x |
| 65756 | Transplantation of outer layer of corneal tissue | 340 | $465.0K | $1.4K | 2.55x |
| 66174 | Dilation of fluid outflow drainage within eye | 418 | $360.8K | $863.21 | 4.11x |
| 67904 | Repair of tendon of upper eyelid | 677 | $326.1K | $481.65 | 3.31x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 251 | $319.4K | $1.3K | 2.56x |
| J1096 | Dexamethasone, lacrimal ophthalmic insert, 0.1 mg | 2.7K | $291.6K | $108.97 | 2.57x |
| 67042 | Removal of membrane from the retina, pars plana approach with removal of internal limiting membrane of retina | 216 | $287.4K | $1.3K | 2.56x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 128 | $270.0K | $2.1K | 2.43x |
| 67950 | Reconstruction of eyelid margin | 562 | $267.1K | $475.30 | 3.34x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina, with removal of vitreous fluid | 190 | $258.7K | $1.4K | 2.54x |
| 66761 | Creation of eye fluid drainage tracts in iris using a laser, per session | 2.0K | $255.1K | $128.34 | 3.37x |
| 66183 | Insertion of eye fluid drainage device | 78 | $164.7K | $2.1K | 2.37x |
| 66250 | Revision or repair of operative wound of eye | 279 | $153.3K | $549.51 | 2.90x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ 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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