This provider's $17.4M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 53% from 2014 to 2023.
66% 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 | $2.6K | $738.91 | 3.46x | $1.8K | $1.4M | 2.8K | 1.7K |
| 2015 | $2.3K | $756.75 | 3.00x | $1.5K | $1.5M | 2.9K | 1.8K |
| 2016 | $2.3K | $717.86 | 3.19x | $1.6K | $1.4M | 2.8K | 1.7K |
| 2017 | $2.3K | $754.02 | 3.01x | $1.5K | $1.5M | 2.9K | 1.8K |
| 2018 | $2.1K | $705.82 | 2.92x | $1.4K | $1.6M | 3.2K | 1.9K |
| 2019 | $2.0K | $843.81 | 2.40x | $1.2K | $2.1M | 4.7K | 2.8K |
| 2020 | $2.1K | $904.14 | 2.32x | $1.2K | $1.7M | 3.9K | 2.3K |
| 2021 | $2.1K | $909.24 | 2.27x | $1.2K | $2.0M | 5.0K | 2.9K |
| 2022 | $2.2K | $905.14 | 2.44x | $1.3K | $2.1M | 5.2K | 3.0K |
| 2023 | $2.1K | $782.75 | 2.70x | $1.3K | $2.1M | 5.1K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 16.8K | $11.5M | $682.61 | 3.66x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 9.4K | $1.6M | $166.48 | 5.11x |
| 67042 | Removal of membrane from the retina, pars plana approach | 591 | $722.6K | $1.2K | 2.29x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.6K | $563.7K | $361.58 | 1.36x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 6.8K | $546.0K | $79.74 | 1.55x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 307 | $377.6K | $1.2K | 3.09x |
| 0191T | Internal insertion of eye fluid drainage device | 124 | $235.6K | $1.9K | 1.96x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 183 | $218.8K | $1.2K | 1.59x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 123 | $210.4K | $1.7K | 1.50x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 95 | $205.9K | $2.2K | 2.17x |
| 65820 | Incision to improve eye fluid flow | 200 | $203.0K | $1.0K | 2.27x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 159 | $192.2K | $1.2K | 2.65x |
| 66183 | Insertion of eye fluid drainage device | 97 | $178.9K | $1.8K | 1.70x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 395 | $170.0K | $430.33 | 4.81x |
| 66710 | Destruction of lens tissue using laser | 240 | $130.0K | $541.52 | 2.40x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 91 | $111.6K | $1.2K | 2.12x |
| 67904 | Repair of tendon of upper eyelid | 199 | $86.0K | $432.40 | 4.05x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 873 | $83.7K | $95.89 | 13.56x |
| 67121 | Removal of implant material from inside the eye | 52 | $33.8K | $650.38 | 3.38x |
| 66982 | Removal of cataract with insertion of lens | 42 | $29.1K | $691.67 | 3.76x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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