This provider's $8.3M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 13.25x 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 | $7.7K | $908.04 | 8.52x | $6.8K | $1.0M | 1.1K | 998 |
| 2015 | $8.4K | $893.58 | 9.37x | $7.5K | $954.7K | 1.1K | 923 |
| 2016 | $9.1K | $922.49 | 9.88x | $8.2K | $1.0M | 1.1K | 1.0K |
| 2017 | $9.9K | $912.26 | 10.84x | $9.0K | $858.1K | 891 | 823 |
| 2018 | $10.9K | $947.73 | 11.47x | $9.9K | $775.3K | 872 | 763 |
| 2019 | $13.1K | $930.44 | 14.04x | $12.1K | $669.0K | 706 | 620 |
| 2020 | $14.2K | $913.48 | 15.55x | $13.3K | $637.7K | 612 | 550 |
| 2021 | $14.5K | $999.63 | 14.50x | $13.5K | $687.6K | 705 | 616 |
| 2022 | $15.3K | $970.72 | 15.72x | $14.3K | $675.1K | 704 | 617 |
| 2023 | $16.9K | $1.2K | 14.09x | $15.7K | $1.0M | 973 | 847 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.4K | $1.8M | $744.49 | 15.33x |
| 67042 | Removal of membrane from the retina, pars plana approach | 1.1K | $1.6M | $1.4K | 13.81x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 693 | $948.5K | $1.4K | 14.07x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 649 | $910.2K | $1.4K | 11.72x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 458 | $597.9K | $1.3K | 13.07x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 359 | $485.7K | $1.4K | 12.51x |
| V2785 | Processing, preserving and transporting corneal tissue | 126 | $360.5K | $2.9K | 3.32x |
| 67041 | Removal of membrane from the retina | 123 | $142.8K | $1.2K | 13.08x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 685 | $133.1K | $194.29 | 29.42x |
| 67312 | Realignment of the eye with repair of two horizontal eye muscles | 122 | $119.6K | $980.41 | 9.48x |
| 67311 | Realignment of the eye with repair of one horizontal eye muscle | 232 | $119.5K | $515.11 | 16.80x |
| 66982 | Removal of cataract with insertion of lens | 143 | $106.2K | $742.99 | 15.14x |
| 67314 | Realignment of the eye with repair of one vertical muscle | 172 | $104.4K | $606.83 | 14.62x |
| 66180 | Creation of shunt to improve eye fluid flow | 76 | $99.0K | $1.3K | 4.29x |
| 67039 | Laser destruction of eye fluid (vitreous) between the lens and retina | 69 | $96.4K | $1.4K | 11.60x |
| 66852 | Removal of lens material | 64 | $95.1K | $1.5K | 7.71x |
| 66183 | Insertion of eye fluid drainage device | 67 | $87.7K | $1.3K | 3.91x |
| 65756 | Transplant of outer layer of corneal tissue | 49 | $73.0K | $1.5K | 13.78x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 156 | $69.1K | $442.82 | 8.76x |
| 67043 | Removal of membrane from the retina, pars plana approach | 44 | $59.2K | $1.3K | 10.70x |
This provider submits charges 13.25 times higher than what Medicare actually pays.
A markup ratio of 13.25x means for every $100 Medicare pays, this provider initially charges $1325. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ophthalmology Surgery Center Of Dallas, Llc | Dallas, TX | $76.6M | ✓ Clear |
| Round Rock Surgery Center Llc | Round Rock, TX | $56.6M | ✓ Clear |
| Amarillo Cataract And Eye Surgery | Amarillo, TX | $33.3M | ✓ 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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