This provider's $32.9M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 114% from 2014 to 2023.
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 | $2.3K | $606.35 | 3.73x | $1.7K | $2.1M | 3.5K | 11 |
| 2015 | $2.2K | $595.53 | 3.78x | $1.7K | $2.1M | 3.5K | 11 |
| 2016 | $2.3K | $604.69 | 3.73x | $1.6K | $2.1M | 3.5K | 13 |
| 2017 | $1.9K | $576.47 | 3.37x | $1.4K | $2.9M | 5.0K | 15 |
| 2018 | $2.2K | $652.69 | 3.40x | $1.6K | $3.5M | 5.3K | 14 |
| 2019 | $1.4K | $443.43 | 3.11x | $935.45 | $4.1M | 9.2K | 16 |
| 2020 | $1.0K | $324.53 | 3.15x | $698.25 | $3.1M | 9.7K | 12 |
| 2021 | $855.24 | $282.04 | 3.03x | $573.20 | $4.1M | 14.4K | 14 |
| 2022 | $800.96 | $273.31 | 2.93x | $527.65 | $4.5M | 16.5K | 15 |
| 2023 | $919.83 | $291.79 | 3.15x | $628.04 | $4.5M | 15.4K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 22.9K | $15.6M | $678.98 | 3.98x |
| 0191T | Internal insertion of eye fluid drainage device | 2.2K | $3.5M | $1.6K | 2.74x |
| V2785 | Processing, preserving and transporting corneal tissue | 974 | $3.4M | $3.5K | 1.30x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 40.7K | $3.2M | $79.03 | 2.05x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 10.2K | $1.4M | $138.37 | 4.56x |
| 65756 | Transplantation of outer layer of corneal tissue | 948 | $1.2M | $1.3K | 3.57x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 3.3K | $1.2M | $363.43 | 1.68x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 442 | $1.0M | $2.3K | 1.60x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.2K | $494.0K | $408.57 | 5.64x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 680 | $445.6K | $655.26 | 4.15x |
| 65820 | Incision to improve eye fluid flow | 252 | $306.2K | $1.2K | 2.61x |
| 66174 | Dilation of fluid outflow drainage within eye | 194 | $224.2K | $1.2K | 3.47x |
| 67900 | Repair of brow paralysis | 434 | $171.9K | $395.98 | 7.17x |
| 66988 | Removal of cataract with insertion of prosthetic lens and laser treatment to decrease fluid production in eye | 125 | $161.1K | $1.3K | 3.08x |
| 0449T | Insertion of initial aqueous fluid drainage device into eye | 56 | $118.5K | $2.1K | 2.20x |
| 67917 | Extensive repair of turning-outward eyelid defect | 246 | $110.6K | $449.60 | 4.67x |
| 67904 | Repair of tendon of upper eyelid | 192 | $86.0K | $448.17 | 4.63x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 185 | $67.3K | $363.71 | 7.22x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 48 | $58.6K | $1.2K | 3.56x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 28 | $48.7K | $1.7K | 2.55x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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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