This provider's $6.6M in total Medicare payments ranks in the 95th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 6.32x is significantly above the specialty median of 6.1x.
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 | $3.3K | $626.77 | 5.22x | $2.6K | $755.0K | 1.3K | 1.0K |
| 2015 | $3.2K | $619.31 | 5.15x | $2.6K | $628.7K | 1.2K | 937 |
| 2016 | $3.2K | $613.51 | 5.18x | $2.6K | $629.5K | 1.1K | 882 |
| 2017 | $3.2K | $594.79 | 5.35x | $2.6K | $700.2K | 1.2K | 989 |
| 2018 | $3.2K | $657.53 | 4.87x | $2.5K | $766.2K | 1.3K | 1.0K |
| 2019 | $3.3K | $653.87 | 5.09x | $2.7K | $744.1K | 1.2K | 979 |
| 2020 | $3.3K | $652.21 | 5.07x | $2.7K | $536.3K | 931 | 746 |
| 2021 | $3.4K | $747.05 | 4.56x | $2.7K | $664.2K | 1.0K | 814 |
| 2022 | $3.5K | $788.36 | 4.39x | $2.7K | $603.5K | 967 | 767 |
| 2023 | $3.5K | $901.52 | 3.91x | $2.6K | $573.0K | 903 | 703 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 5.3K | $3.9M | $734.44 | 6.43x |
| V2785 | Processing, preserving and transporting corneal tissue | 210 | $666.5K | $3.2K | 1.28x |
| 67904 | Repair of tendon of upper eyelid | 1.3K | $602.0K | $455.40 | 6.72x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $319.5K | $183.86 | 11.70x |
| 67917 | Extensive repair of turning-outward eyelid defect | 623 | $279.4K | $448.55 | 6.84x |
| 66982 | Removal of cataract with insertion of lens | 376 | $273.1K | $726.31 | 6.50x |
| 65756 | Transplant of outer layer of corneal tissue | 195 | $263.0K | $1.3K | 3.50x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 209 | $103.1K | $493.23 | 6.19x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 584 | $65.6K | $112.41 | 19.13x |
| 15260 | Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) | 100 | $47.5K | $474.82 | 6.21x |
| 67924 | Repair of turning-inward eyelid defect | 56 | $30.1K | $537.31 | 5.66x |
| 67900 | Repair of brow paralysis | 59 | $25.0K | $423.42 | 7.18x |
| 67921 | Suture repair of turning-inward eyelid defect | 41 | $17.3K | $421.31 | 6.61x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 97 | $13.1K | $134.80 | 15.96x |
| 15004 | Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) | 78 | $7.3K | $93.50 | 32.50x |
| 67914 | Suture repair of a turning-outward defect of upper or lower eyelid | 14 | $6.5K | $461.68 | 6.58x |
| 68700 | Plastic repair of tear ducts | 12 | $6.1K | $508.43 | 5.98x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 12 | $5.0K | $417.30 | 7.28x |
| 66250 | Revision or repair of operative wound of eye | 12 | $4.4K | $368.46 | 10.45x |
| 67840 | Removal of eyelid growth | 48 | $4.4K | $91.41 | 24.86x |
This provider submits charges 6.32 times higher than what Medicare actually pays.
A markup ratio of 6.32x means for every $100 Medicare pays, this provider initially charges $632. 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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