This provider's $38.3M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 8.65x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 50% from 2014 to 2023.
64% of their billing comes from a single procedure code (66984 — Removal of cataract with insertion of prosthetic 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 | $6.8K | $674.26 | 10.05x | $6.1K | $3.4M | 5.0K | 18 |
| 2015 | $6.8K | $667.98 | 10.11x | $6.1K | $3.2M | 4.9K | 13 |
| 2016 | $6.7K | $666.16 | 10.11x | $6.1K | $3.3M | 5.0K | 14 |
| 2017 | $6.7K | $680.25 | 9.86x | $6.0K | $3.5M | 5.2K | 15 |
| 2018 | $6.7K | $693.77 | 9.73x | $6.1K | $3.6M | 5.2K | 15 |
| 2019 | $3.9K | $457.88 | 8.48x | $3.4K | $4.3M | 9.4K | 19 |
| 2020 | $2.6K | $331.54 | 7.91x | $2.3K | $3.1M | 9.5K | 14 |
| 2021 | $2.2K | $280.37 | 7.70x | $1.9K | $4.3M | 15.5K | 16 |
| 2022 | $2.1K | $289.00 | 7.33x | $1.8K | $4.5M | 15.4K | 19 |
| 2023 | $57.32 | $8.41 | 6.82x | $48.91 | $5.0M | 600.1K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 31.0K | $23.9M | $769.20 | 10.26x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 42.1K | $3.4M | $79.69 | 1.45x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 3.0K | $2.3M | $760.31 | 10.38x |
| V2785 | Processing, preserving and transporting corneal tissue | 632 | $1.8M | $2.9K | 1.27x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 8.2K | $1.5M | $178.99 | 11.83x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 515 | $733.3K | $1.4K | 8.07x |
| 65756 | Transplantation of outer layer of corneal tissue | 515 | $730.9K | $1.4K | 7.71x |
| 0191T | Internal insertion of eye fluid drainage device | 236 | $504.0K | $2.1K | 5.57x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 182 | $462.9K | $2.5K | 4.68x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.1K | $394.4K | $355.31 | 1.31x |
| 66174 | Dilation of fluid outflow drainage within eye | 273 | $377.4K | $1.4K | 8.61x |
| J2403 | Chloroprocaine hcl ophthalmic, 3% gel, 1 mg | 584.0K | $327.5K | $0.56 | 1.43x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 213 | $300.8K | $1.4K | 8.10x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 138 | $199.6K | $1.4K | 7.94x |
| 65820 | Incision to improve eye fluid flow | 162 | $122.4K | $755.32 | 9.08x |
| 67904 | Repair of tendon of upper eyelid | 256 | $122.0K | $476.46 | 11.63x |
| 67039 | Destruction of eye fluid (vitreous) between lens and retina using a laser | 75 | $109.2K | $1.5K | 7.89x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 26 | $90.1K | $3.5K | 1.87x |
| 31276 | Exploration of nasal sinus using an endoscope | 111 | $88.1K | $793.51 | 7.79x |
| 31255 | Removal of nasal sinus using an endoscope | 127 | $86.0K | $676.82 | 9.14x |
This provider submits charges 8.65 times higher than what Medicare actually pays.
A markup ratio of 8.65x means for every $100 Medicare pays, this provider initially charges $865. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Island Eye Surgicenter Llc | Westbury, NY | $69.9M | ✓ Clear |
| Long Island Ambulatory Surgery Center, Llc | Brentwood, NY | $41.6M | ✓ 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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