This provider's $14.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
75% 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 | $2.2K | $996.95 | 2.20x | $1.2K | $1.4M | 1.9K | 1.2K |
| 2015 | $2.2K | $1.0K | 2.10x | $1.1K | $1.4M | 2.1K | 1.3K |
| 2016 | $2.0K | $949.15 | 2.15x | $1.1K | $1.6M | 2.4K | 1.4K |
| 2017 | $2.1K | $988.01 | 2.09x | $1.1K | $1.5M | 2.2K | 1.3K |
| 2018 | $2.3K | $867.64 | 2.62x | $1.4K | $1.5M | 2.2K | 1.3K |
| 2019 | $2.2K | $725.33 | 2.97x | $1.4K | $1.5M | 2.2K | 1.4K |
| 2020 | $2.6K | $886.83 | 2.92x | $1.7K | $1.0M | 1.5K | 980 |
| 2021 | $2.6K | $983.24 | 2.65x | $1.6K | $1.3M | 1.8K | 1.2K |
| 2022 | $2.6K | $868.14 | 2.99x | $1.7K | $1.7M | 2.2K | 1.4K |
| 2023 | $2.7K | $860.19 | 3.10x | $1.8K | $1.8M | 2.2K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 14.4K | $11.1M | $766.52 | 2.35x |
| 0191T | Internal insertion of eye fluid drainage device | 570 | $1.0M | $1.8K | 2.28x |
| 66982 | Removal of cataract with insertion of lens | 1.2K | $884.0K | $766.03 | 2.35x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 3.0K | $582.8K | $192.92 | 7.00x |
| 66174 | Dilation to improve eye fluid flow | 220 | $279.8K | $1.3K | 2.36x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 96 | $245.3K | $2.6K | 3.48x |
| V2785 | Processing, preserving and transporting corneal tissue | 60 | $186.7K | $3.1K | 1.28x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 266 | $103.6K | $389.51 | 4.62x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 717 | $102.4K | $142.77 | 8.41x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 36 | $69.1K | $1.9K | 2.09x |
| 66183 | Insertion of eye fluid drainage device, external approach | 29 | $61.9K | $2.1K | 1.41x |
| 65820 | Incision to improve eye fluid flow | 39 | $57.2K | $1.5K | 1.70x |
| 66180 | Creation of shunt to improve eye fluid flow | 35 | $46.9K | $1.3K | 1.69x |
| 65756 | Transplant of outer layer of corneal tissue | 16 | $22.0K | $1.4K | 2.18x |
| 67904 | Repair of tendon of upper eyelid | 40 | $19.4K | $485.76 | 3.71x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 37 | $18.4K | $496.68 | 4.65x |
| 15822 | Removal of excessive skin of upper eyelid | 12 | $6.3K | $521.21 | 3.45x |
| 67903 | Shortening or advancement of upper eyelid muscle to correct drooping or paralysis | 11 | $6.0K | $549.52 | 2.73x |
| 67900 | Repair of brow paralysis | 15 | $4.8K | $317.52 | 5.67x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Main Line Surgery Center, Llc | Bala Cynwyd, PA | $38.7M | ✓ 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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