This provider's $21.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
61% 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 | $1.4K | $927.42 | 1.48x | $442.39 | $3.5M | 4.7K | 3.5K |
| 2015 | $1.3K | $961.81 | 1.38x | $365.21 | $3.5M | 4.7K | 3.5K |
| 2016 | $1.4K | $959.61 | 1.42x | $404.39 | $3.9M | 5.3K | 3.9K |
| 2017 | $1.3K | $930.62 | 1.39x | $363.31 | $4.2M | 5.8K | 4.3K |
| 2018 | $1.1K | $816.83 | 1.37x | $303.66 | $2.9M | 4.2K | 3.0K |
| 2019 | $1.3K | $930.62 | 1.37x | $348.87 | $2.6M | 3.7K | 2.7K |
| 2020 | $1.0K | $686.69 | 1.47x | $320.09 | $184.4K | 316 | 258 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 16.6K | $12.3M | $743.37 | 1.35x |
| V2785 | Processing, preserving and transporting corneal tissue | 355 | $954.7K | $2.7K | 1.29x |
| 67042 | Removal of membrane from the retina, pars plana approach | 612 | $827.9K | $1.4K | 1.32x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $794.6K | $736.38 | 1.37x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.1K | $765.1K | $185.78 | 1.38x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 399 | $543.2K | $1.4K | 1.31x |
| 66174 | Dilation to improve eye fluid flow | 356 | $486.3K | $1.4K | 1.31x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 384 | $473.5K | $1.2K | 1.32x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 345 | $454.0K | $1.3K | 1.41x |
| 67041 | Removal of membrane from the retina | 265 | $320.0K | $1.2K | 1.35x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 223 | $301.2K | $1.4K | 1.34x |
| 65756 | Transplant of outer layer of corneal tissue | 191 | $267.4K | $1.4K | 1.28x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 562 | $258.9K | $460.76 | 1.75x |
| 66179 | Creation of shunt to improve eye fluid flow | 181 | $248.6K | $1.4K | 1.44x |
| 0191T | Internal insertion of eye fluid drainage device | 155 | $248.0K | $1.6K | 1.29x |
| 66710 | Destruction of lens tissue using laser | 329 | $197.0K | $598.81 | 1.36x |
| 67904 | Repair of tendon of upper eyelid | 328 | $159.2K | $485.43 | 1.69x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 418 | $156.4K | $374.28 | 1.29x |
| 67966 | Removal of over one-fourth of the eyelid involving lid margin | 264 | $143.9K | $545.01 | 1.50x |
| 66183 | Insertion of eye fluid drainage device | 92 | $126.5K | $1.4K | 1.54x |
This provider submits charges 1.36 times higher than what Medicare actually pays.
A markup ratio of 1.36x means for every $100 Medicare pays, this provider initially charges $136. This is lower 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scottsdale Eye Surgery Center, P.C | Scottsdale, AZ | $44.2M | ✓ 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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