This provider's $10.0M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.0K | $1.1K | 1.78x | $855.33 | $1.0M | 1.4K | 1.0K |
| 2015 | $1.8K | $960.19 | 1.86x | $826.94 | $952.2K | 1.4K | 996 |
| 2016 | $1.8K | $948.90 | 1.91x | $860.87 | $1.1M | 1.5K | 1.1K |
| 2017 | $1.9K | $1.0K | 1.81x | $831.99 | $1.1M | 1.5K | 1.1K |
| 2018 | $1.9K | $1.1K | 1.74x | $828.68 | $997.4K | 1.3K | 948 |
| 2019 | $2.8K | $1.2K | 2.35x | $1.6K | $992.3K | 1.4K | 1.0K |
| 2020 | $2.6K | $1.2K | 2.18x | $1.4K | $711.5K | 906 | 674 |
| 2021 | $2.7K | $1.2K | 2.24x | $1.5K | $957.1K | 1.2K | 863 |
| 2022 | $2.5K | $1.1K | 2.20x | $1.4K | $940.8K | 1.2K | 857 |
| 2023 | $2.6K | $1.2K | 2.21x | $1.4K | $1.3M | 1.4K | 1.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of lens | 6.9K | $5.0M | $726.87 | 2.58x |
| V2785 | Processing, preserving and transporting corneal tissue | 446 | $1.4M | $3.0K | 1.29x |
| 65756 | Transplant of outer layer of corneal tissue | 342 | $457.3K | $1.3K | 1.98x |
| 66821 | Removal of recurring cataract in lens capsule using laser | 2.4K | $447.3K | $184.70 | 4.30x |
| 67036 | Removal of eye fluid (vitreous) between the lens and retina | 313 | $392.9K | $1.3K | 2.14x |
| 67042 | Removal of membrane from the retina, pars plana approach | 301 | $383.5K | $1.3K | 1.87x |
| 66982 | Removal of cataract with insertion of lens | 530 | $383.1K | $722.90 | 2.60x |
| 67041 | Removal of membrane from the retina | 299 | $376.0K | $1.3K | 2.26x |
| 67108 | Repair of detached retina and drainage of eye fluid between lens and retina | 203 | $267.5K | $1.3K | 2.07x |
| C9447 | Injection, phenylephrine and ketorolac, 4 ml vial | 402 | $150.2K | $373.63 | 2.54x |
| 67113 | Repair of detached retina and drainage of eye fluid between lens and retina | 119 | $149.6K | $1.3K | 1.70x |
| 66710 | Destruction of lens tissue using laser | 213 | $122.0K | $572.96 | 2.55x |
| 66180 | Creation of shunt to improve eye fluid flow with graft | 92 | $111.6K | $1.2K | 1.79x |
| 0449T | Insertion of aqueous fluid drainage device into eye | 56 | $108.0K | $1.9K | 2.23x |
| 66183 | Insertion of eye fluid drainage device | 47 | $61.6K | $1.3K | 1.81x |
| 67040 | Laser destruction of eye fluid (vitreous) between the lens and retina | 41 | $52.8K | $1.3K | 1.89x |
| 66020 | Injection of air or liquid into eye | 44 | $33.0K | $749.37 | 2.46x |
| 65755 | Transplantation of tissue from one cornea to other cornea | 23 | $31.2K | $1.4K | 2.51x |
| 66250 | Revision or repair of operative wound of eye | 41 | $23.3K | $568.41 | 1.89x |
| 66986 | Exchange of lens prosthesis | 40 | $19.2K | $481.04 | 3.67x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Digestivecare, Llc | Germantown, TN | $36.0M | ✓ Clear |
| Knoxville Eye Surgery Center Llc | Knoxville, TN | $33.5M | ✓ 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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