This provider's $23.1M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.91x 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 | $7.9K | $804.83 | 9.83x | $7.1K | $3.0M | 3.9K | 2.9K |
| 2015 | $8.2K | $912.80 | 9.02x | $7.3K | $3.0M | 3.9K | 2.8K |
| 2016 | $8.8K | $985.67 | 8.95x | $7.8K | $3.2M | 4.0K | 2.9K |
| 2017 | $8.5K | $978.62 | 8.63x | $7.5K | $3.1M | 3.7K | 2.7K |
| 2018 | $8.0K | $939.16 | 8.51x | $7.1K | $2.7M | 3.3K | 2.5K |
| 2019 | $7.9K | $1.0K | 7.54x | $6.8K | $2.5M | 3.3K | 2.2K |
| 2020 | $9.9K | $1.4K | 7.16x | $8.6K | $1.5M | 1.5K | 1.1K |
| 2021 | $8.7K | $1.3K | 6.83x | $7.4K | $1.7M | 1.8K | 1.3K |
| 2022 | $9.4K | $1.4K | 6.81x | $8.0K | $1.9M | 1.8K | 1.3K |
| 2023 | $9.5K | $1.4K | 6.80x | $8.1K | $532.7K | 556 | 429 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 18.0K | $12.5M | $694.22 | 10.36x |
| V2785 | Processing, preserving and transporting corneal tissue | 720 | $2.2M | $3.1K | 3.15x |
| 66982 | Removal of cataract with insertion of lens | 1.6K | $1.1M | $699.67 | 10.28x |
| 0191T | Internal insertion of eye fluid drainage device | 586 | $997.7K | $1.7K | 2.04x |
| 67042 | Removal of membrane from the retina, pars plana approach | 712 | $926.5K | $1.3K | 9.22x |
| 65756 | Transplant of outer layer of corneal tissue | 507 | $658.9K | $1.3K | 8.77x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 479 | $624.8K | $1.3K | 9.20x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 418 | $513.8K | $1.2K | 9.76x |
| 66183 | Insertion of eye fluid drainage device | 331 | $482.9K | $1.5K | 5.98x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 259 | $332.8K | $1.3K | 9.34x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 257 | $318.6K | $1.2K | 9.68x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 736 | $263.7K | $358.29 | 3.89x |
| 65730 | Transplantation of tissue from one cornea to other cornea | 202 | $263.3K | $1.3K | 5.95x |
| 66180 | Creation of shunt to improve eye fluid flow | 163 | $248.3K | $1.5K | 8.31x |
| 67041 | Removal of membrane from the retina | 169 | $204.1K | $1.2K | 9.94x |
| 66174 | Dilation to improve eye fluid flow | 147 | $193.3K | $1.3K | 9.63x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 74 | $171.1K | $2.3K | 7.13x |
| 66710 | Destruction of lens tissue using laser | 281 | $164.2K | $584.36 | 8.97x |
| 65820 | Incision to improve eye fluid flow | 114 | $144.3K | $1.3K | 5.65x |
| 66986 | Exchange of lens prosthesis | 173 | $100.6K | $581.72 | 12.36x |
This provider submits charges 8.91 times higher than what Medicare actually pays.
A markup ratio of 8.91x means for every $100 Medicare pays, this provider initially charges $891. 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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