This provider's $5.2M in total Medicare payments ranks in the 94th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 4152% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2568% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $3.5K | $844.18 | 4.15x | $2.7K | $18.6K | 22 | 21 |
| 2016 | $2.7K | $696.34 | 3.84x | $2.0K | $495.5K | 618 | 486 |
| 2017 | $3.1K | $697.39 | 4.42x | $2.4K | $466.1K | 624 | 519 |
| 2018 | $3.1K | $714.74 | 4.36x | $2.4K | $476.8K | 631 | 534 |
| 2019 | $4.7K | $1.1K | 4.16x | $3.5K | $517.0K | 647 | 545 |
| 2020 | $5.5K | $1.2K | 4.40x | $4.2K | $598.6K | 567 | 435 |
| 2021 | $5.1K | $1.2K | 4.12x | $3.8K | $1.0M | 824 | 610 |
| 2022 | $3.0K | $971.92 | 3.04x | $2.0K | $804.5K | 638 | 498 |
| 2023 | $2.7K | $976.28 | 2.78x | $1.7K | $789.7K | 704 | 527 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 2.4K | $2.0M | $835.24 | 4.67x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 285 | $842.0K | $3.0K | 2.38x |
| 0191T | Internal insertion of eye fluid drainage device | 308 | $789.1K | $2.6K | 3.50x |
| 65820 | Incision to improve eye fluid flow | 635 | $714.0K | $1.1K | 3.87x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 1.1K | $604.8K | $548.81 | 3.65x |
| 66030 | Injection of medication into eye | 75 | $73.7K | $983.15 | 2.03x |
| 65426 | Removal or relocation of corneal conjunctiva | 85 | $60.2K | $707.68 | 4.75x |
| 66174 | Dilation to improve eye fluid flow | 21 | $23.7K | $1.1K | 6.19x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 240 | $18.3K | $76.20 | 2.08x |
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 75 | $12.1K | $161.27 | 1.70x |
| 67961 | Removal of up to 1/4 of eyelid margin and repair of eyelid | 11 | $9.0K | $817.59 | 4.28x |
This provider submits charges 3.84 times higher than what Medicare actually pays.
A markup ratio of 3.84x means for every $100 Medicare pays, this provider initially charges $384. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Specialty Surgical Center, Llc | Beverly Hills, CA | $49.2M | ✓ Clear |
| Santa Rosa Surgery Center L P | Santa Rosa, CA | $41.3M | ✓ Clear |
| Peninsula Eye Surgery Center Llc | Mountain View, CA | $37.0M | ✓ Clear |
| Fort Sutter Surgery Center A California Limited Partnership | Sacramento, CA | $33.6M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data