This provider's $15.9M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
91% 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 | $1.9K | $606.55 | 3.20x | $1.3K | $1.3M | 1.9K | 1.4K |
| 2015 | $1.7K | $476.65 | 3.47x | $1.2K | $1.4M | 2.2K | 1.6K |
| 2016 | $1.9K | $570.69 | 3.40x | $1.4K | $1.6M | 2.3K | 1.6K |
| 2017 | $1.9K | $569.34 | 3.41x | $1.4K | $1.5M | 2.2K | 1.6K |
| 2018 | $1.6K | $583.59 | 2.74x | $1.0K | $1.7M | 2.4K | 1.7K |
| 2019 | $1.6K | $588.82 | 2.66x | $979.08 | $1.7M | 2.2K | 1.5K |
| 2020 | $2.7K | $1.3K | 2.11x | $1.4K | $1.4M | 1.7K | 1.1K |
| 2021 | $2.8K | $1.2K | 2.41x | $1.6K | $1.8M | 2.1K | 1.3K |
| 2022 | $3.1K | $1.7K | 1.82x | $1.4K | $1.8M | 2.1K | 1.3K |
| 2023 | $2.0K | $812.61 | 2.44x | $1.2K | $1.8M | 2.1K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 18.1K | $14.4M | $796.24 | 2.77x |
| 66982 | Removal of cataract with insertion of lens | 1.1K | $891.4K | $786.80 | 2.85x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 1.5K | $259.6K | $170.76 | 3.83x |
| 0191T | Internal insertion of eye fluid drainage device | 51 | $115.2K | $2.3K | 2.11x |
| 65426 | Removal or relocation of corneal conjunctiva | 98 | $63.2K | $644.51 | 3.34x |
| V2785 | Processing, preserving and transporting corneal tissue | 16 | $59.2K | $3.7K | 1.26x |
| 65756 | Transplantation of outer layer of corneal tissue | 14 | $21.3K | $1.5K | 2.41x |
| 66986 | Exchange of prosthetic lens | 12 | $10.3K | $854.43 | 2.44x |
| 67917 | Extensive repair of turning-outward eyelid defect | 11 | $6.0K | $547.48 | 2.73x |
| 66761 | Creation of eye fluid drainage tracts in iris using laser, per session | 18 | $2.0K | $110.05 | 4.31x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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