This provider's $21.2M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
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.
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 | $2.3K | $685.45 | 3.40x | $1.6K | $2.0M | 3.0K | 2.0K |
| 2015 | $2.2K | $669.23 | 3.30x | $1.5K | $2.2M | 3.3K | 2.2K |
| 2016 | $2.6K | $781.13 | 3.27x | $1.8K | $2.3M | 3.3K | 2.1K |
| 2017 | $2.2K | $607.36 | 3.58x | $1.6K | $2.2M | 3.2K | 2.1K |
| 2018 | $2.2K | $693.95 | 3.12x | $1.5K | $2.2M | 3.1K | 2.0K |
| 2019 | $2.3K | $843.16 | 2.70x | $1.4K | $2.3M | 3.3K | 2.0K |
| 2020 | $3.1K | $974.48 | 3.19x | $2.1K | $2.0M | 2.3K | 1.4K |
| 2021 | $3.1K | $1.1K | 2.86x | $2.0K | $2.4M | 2.6K | 1.6K |
| 2022 | $3.0K | $1.1K | 2.81x | $1.9K | $2.0M | 2.1K | 1.3K |
| 2023 | $3.5K | $1.1K | 3.14x | $2.4K | $1.7M | 1.9K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 19.0K | $14.3M | $750.27 | 3.59x |
| 66982 | Removal of cataract with insertion of lens | 2.5K | $1.8M | $740.70 | 4.03x |
| 66988 | Removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 783 | $1.4M | $1.7K | 2.56x |
| 66711 | Destruction of tissue encircling lens using en endoscope | 1.8K | $660.4K | $371.61 | 4.85x |
| 66172 | Creation of eye fluid drainage tract | 818 | $554.5K | $677.82 | 5.74x |
| 66180 | Creation of shunt to improve eye fluid flow | 306 | $474.5K | $1.6K | 2.37x |
| 65820 | Incision to improve eye fluid flow | 449 | $443.9K | $988.58 | 2.50x |
| 66710 | Destruction of lens tissue using laser | 686 | $415.1K | $605.07 | 2.44x |
| 66987 | Complex removal of cataract with insertion of lens and laser treatment to decrease fluid production in eye | 131 | $232.8K | $1.8K | 2.66x |
| 66183 | Insertion of eye fluid drainage device | 116 | $230.9K | $2.0K | 1.62x |
| V2785 | Processing, preserving and transporting corneal tissue | 87 | $174.5K | $2.0K | 1.32x |
| 66174 | Dilation to improve eye fluid flow | 124 | $136.0K | $1.1K | 2.53x |
| 66250 | Revision or repair of operative wound of eye | 141 | $76.4K | $541.92 | 4.23x |
| J7315 | Mitomycin, ophthalmic, 0.2 mg | 232 | $67.9K | $292.87 | 1.69x |
| 65756 | Transplant of outer layer of corneal tissue | 41 | $54.5K | $1.3K | 4.43x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 241 | $44.6K | $185.02 | 5.04x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 21 | $38.4K | $1.8K | 1.84x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 39 | $18.5K | $474.65 | 4.36x |
| 66170 | Creation of eye fluid drainage tract | 34 | $14.0K | $411.34 | 7.11x |
| 67255 | Repair of defect of sclera with graft | 34 | $12.3K | $360.82 | 6.25x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. 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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