This provider's $25.8M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
73% 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.
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 | $2.4K | $847.69 | 2.88x | $1.6K | $2.1M | 2.8K | 2.0K |
| 2015 | $2.5K | $896.75 | 2.81x | $1.6K | $2.2M | 3.0K | 2.2K |
| 2016 | $3.0K | $1.1K | 2.79x | $1.9K | $2.2M | 2.9K | 2.1K |
| 2017 | $2.9K | $1.1K | 2.74x | $1.8K | $2.5M | 3.3K | 2.4K |
| 2018 | $2.6K | $988.70 | 2.63x | $1.6K | $2.9M | 3.8K | 2.7K |
| 2019 | $2.7K | $1.1K | 2.56x | $1.6K | $3.0M | 3.9K | 2.7K |
| 2020 | $2.9K | $1.1K | 2.52x | $1.7K | $2.6M | 3.1K | 2.2K |
| 2021 | $2.8K | $1.1K | 2.49x | $1.6K | $2.9M | 3.6K | 2.5K |
| 2022 | $2.7K | $1.2K | 2.35x | $1.6K | $2.7M | 3.2K | 2.3K |
| 2023 | $2.8K | $1.2K | 2.33x | $1.6K | $2.6M | 3.1K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 25.4K | $18.6M | $733.21 | 3.00x |
| 66982 | Removal of cataract with insertion of lens | 1.6K | $1.2M | $729.23 | 3.06x |
| V2785 | Processing, preserving and transporting corneal tissue | 282 | $933.1K | $3.3K | 1.29x |
| 67041 | Removal of membrane from the retina | 656 | $858.4K | $1.3K | 2.55x |
| 67042 | Removal of membrane from the retina, pars plana approach | 510 | $682.5K | $1.3K | 2.50x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 361 | $493.4K | $1.4K | 2.74x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 344 | $459.4K | $1.3K | 2.81x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 325 | $436.5K | $1.3K | 2.49x |
| 66710 | Destruction of lens tissue using laser | 680 | $407.9K | $599.81 | 2.82x |
| 65756 | Transplant of outer layer of corneal tissue | 256 | $345.0K | $1.3K | 2.73x |
| 67904 | Repair of tendon of upper eyelid | 734 | $337.8K | $460.16 | 3.42x |
| 66986 | Exchange of lens prosthesis | 363 | $193.0K | $531.71 | 3.96x |
| 0191T | Internal insertion of eye fluid drainage device | 83 | $165.3K | $2.0K | 2.68x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 91 | $124.4K | $1.4K | 2.72x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 202 | $92.7K | $458.88 | 3.55x |
| 67917 | Extensive repair of turning-outward eyelid defect | 153 | $77.7K | $507.68 | 3.21x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 52 | $69.5K | $1.3K | 2.78x |
| 67924 | Repair of turning-inward eyelid defect | 97 | $54.5K | $561.89 | 3.00x |
| 65426 | Removal or relocation of corneal conjunctiva | 87 | $53.2K | $611.02 | 3.33x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 21 | $50.6K | $2.4K | 2.02x |
This provider submits charges 2.9 times higher than what Medicare actually pays.
A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data