This provider's $8.1M in total Medicare payments ranks in the 96th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 398% from 2014 to 2023.
68% 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.
Notable: Payments increased 125% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $1.8K | $472.44 | 3.91x | $1.4K | $299.4K | 434 | 355 |
| 2015 | $1.9K | $462.88 | 4.10x | $1.4K | $286.8K | 435 | 351 |
| 2016 | $2.2K | $520.54 | 4.30x | $1.7K | $363.6K | 535 | 433 |
| 2017 | $2.2K | $543.44 | 4.12x | $1.7K | $339.5K | 502 | 413 |
| 2018 | $2.9K | $590.83 | 4.85x | $2.3K | $355.4K | 497 | 397 |
| 2019 | $1.9K | $379.16 | 4.96x | $1.5K | $798.8K | 1.5K | 1.1K |
| 2020 | $1.9K | $550.53 | 3.49x | $1.4K | $1.1M | 2.0K | 1.3K |
| 2021 | $1.6K | $556.68 | 2.94x | $1.1K | $1.4M | 2.7K | 1.8K |
| 2022 | $1.8K | $649.42 | 2.82x | $1.2K | $1.7M | 3.4K | 2.1K |
| 2023 | $1.5K | $532.37 | 2.82x | $967.34 | $1.5M | 2.7K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.9K | $5.5M | $800.21 | 3.19x |
| 66982 | Removal of cataract with insertion of lens | 1.9K | $1.4M | $770.05 | 3.43x |
| 65820 | Incision to improve eye fluid flow | 365 | $519.9K | $1.4K | 2.34x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 4.3K | $342.7K | $79.19 | 3.37x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 741 | $149.0K | $201.14 | 4.18x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 356 | $127.6K | $358.29 | 4.10x |
| 66170 | Creation of eye fluid drainage tract | 48 | $25.3K | $526.63 | 5.84x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 120 | $17.8K | $148.50 | 5.32x |
| 66172 | Treatment for glaucoma with creation of eye fluid drainage, secondary | 25 | $11.4K | $455.01 | 4.49x |
| 65855 | Laser repair to improve eye fluid flow | 42 | $4.6K | $109.23 | 5.95x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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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