This provider's $18.0M in total Medicare payments ranks in the 98th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 75% from 2014 to 2023.
64% 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 | $2.7K | $416.17 | 6.49x | $2.3K | $1.3M | 2.1K | 1.4K |
| 2015 | $2.7K | $513.66 | 5.19x | $2.2K | $1.4M | 2.4K | 1.6K |
| 2016 | $1.6K | $603.17 | 2.57x | $948.51 | $1.5M | 2.4K | 1.5K |
| 2017 | $1.8K | $896.83 | 2.03x | $924.70 | $1.5M | 2.4K | 1.5K |
| 2018 | $1.5K | $780.48 | 1.98x | $768.12 | $1.7M | 2.9K | 1.7K |
| 2019 | $1.4K | $761.02 | 1.82x | $623.14 | $2.4M | 4.9K | 2.9K |
| 2020 | $1.7K | $990.36 | 1.70x | $691.57 | $1.7M | 3.8K | 2.2K |
| 2021 | $1.6K | $844.92 | 1.86x | $726.07 | $2.2M | 4.8K | 2.8K |
| 2022 | $2.0K | $1.0K | 1.96x | $967.92 | $2.1M | 4.0K | 2.3K |
| 2023 | $2.0K | $1.0K | 1.94x | $959.30 | $2.2M | 3.0K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 16.7K | $11.6M | $693.20 | 3.06x |
| 66982 | Removal of cataract with insertion of lens | 2.6K | $1.8M | $689.00 | 3.80x |
| 0191T | Internal insertion of eye fluid drainage device | 479 | $885.0K | $1.8K | 1.52x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 343 | $767.8K | $2.2K | 1.56x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 4.1K | $708.1K | $174.46 | 3.26x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 1.9K | $666.0K | $358.81 | 1.39x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.2K | $425.6K | $81.58 | 1.53x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 132 | $241.2K | $1.8K | 1.42x |
| 65820 | Incision to improve eye fluid flow | 219 | $234.8K | $1.1K | 2.21x |
| 66183 | Insertion of eye fluid drainage device | 108 | $209.2K | $1.9K | 1.67x |
| 66174 | Dilation to improve eye fluid flow | 259 | $191.6K | $739.92 | 3.04x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 76 | $134.4K | $1.8K | 1.68x |
| 66710 | Destruction of lens tissue using laser | 167 | $87.6K | $524.85 | 2.04x |
| 66989 | Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 16 | $37.0K | $2.3K | 1.51x |
| 65855 | Laser repair to improve eye fluid flow, 1 or more sessions | 365 | $35.3K | $96.68 | 4.19x |
| 0253T | Insertion of eye fluid drainage device | 23 | $27.2K | $1.2K | 2.46x |
| 0474T | Insertion of drainage device and creation of fluid reservoir in front chamber of eye | 12 | $21.1K | $1.8K | 1.65x |
| 66170 | Treatment for glaucoma with creation of eye fluid drainage, primary | 14 | $10.6K | $755.57 | 1.72x |
| 66986 | Exchange of lens prosthesis | 13 | $8.8K | $677.78 | 2.69x |
| J1095 | Injection, dexamethasone 9 percent, intraocular, 1 microgram | 40 | $37.65 | $0.94 | 1.33x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Surgery Center Jv | Huntsville, AL | $42.9M | ✓ Clear |
| Southern Alabama Surgery Center Llc | Dothan, AL | $42.8M | ✓ 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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