This provider's $14.8M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 9.41x 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 | $4.1K | $865.92 | 4.71x | $3.2K | $1.3M | 1.8K | 1.5K |
| 2015 | $5.1K | $961.51 | 5.33x | $4.2K | $1.3M | 1.8K | 1.4K |
| 2016 | $6.1K | $952.05 | 6.41x | $5.2K | $1.3M | 1.7K | 1.3K |
| 2017 | $6.0K | $1.0K | 5.95x | $5.0K | $1.5M | 2.0K | 1.5K |
| 2018 | $6.3K | $1.1K | 5.60x | $5.2K | $1.8M | 2.1K | 1.6K |
| 2019 | $6.6K | $1.1K | 5.86x | $5.4K | $1.8M | 2.1K | 1.6K |
| 2020 | $7.3K | $1.2K | 6.09x | $6.1K | $1.1M | 1.3K | 1.0K |
| 2021 | $7.3K | $1.1K | 6.45x | $6.1K | $1.4M | 1.6K | 1.2K |
| 2022 | $8.0K | $1.3K | 6.12x | $6.7K | $1.6M | 1.7K | 1.2K |
| 2023 | $8.3K | $1.3K | 6.23x | $7.0K | $1.7M | 1.7K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 9.9K | $7.5M | $759.68 | 12.02x |
| 66982 | Removal of cataract with insertion of lens | 1.2K | $917.0K | $752.24 | 12.24x |
| V2785 | Processing, preserving and transporting corneal tissue | 243 | $761.2K | $3.1K | 2.03x |
| 67042 | Removal of membrane from the retina, pars plana approach | 465 | $689.2K | $1.5K | 4.45x |
| 0191T | Internal insertion of eye fluid drainage device | 251 | $503.8K | $2.0K | 2.79x |
| 67041 | Removal of membrane from the retina | 324 | $448.0K | $1.4K | 6.35x |
| 66174 | Dilation to improve eye fluid flow | 296 | $441.3K | $1.5K | 3.50x |
| 66183 | Insertion of eye fluid drainage device | 262 | $418.2K | $1.6K | 2.87x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 270 | $400.1K | $1.5K | 6.19x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 270 | $384.6K | $1.4K | 5.43x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.7K | $309.1K | $179.69 | 20.99x |
| 65756 | Transplant of outer layer of corneal tissue | 194 | $288.3K | $1.5K | 6.06x |
| 65820 | Incision to improve eye fluid flow | 190 | $277.6K | $1.5K | 2.21x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 157 | $231.9K | $1.5K | 6.32x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 95 | $192.0K | $2.0K | 3.71x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 428 | $181.5K | $424.03 | 14.83x |
| 67900 | Repair of brow paralysis | 402 | $172.7K | $429.56 | 13.09x |
| 67904 | Repair of tendon of upper eyelid | 259 | $133.4K | $514.90 | 10.97x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 48 | $125.7K | $2.6K | 5.63x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 66 | $110.7K | $1.7K | 3.85x |
This provider submits charges 9.41 times higher than what Medicare actually pays.
A markup ratio of 9.41x means for every $100 Medicare pays, this provider initially charges $941. 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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