This provider's $44.2M in total Medicare payments ranks in the 99th percentile of Ambulatory Surgical Center providers nationally.
Medicare payments to this provider grew 82% from 2014 to 2023.
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 | $1.1K | $785.91 | 1.41x | $320.54 | $3.1M | 4.0K | 25 |
| 2015 | $1.2K | $817.31 | 1.44x | $358.52 | $3.6M | 4.4K | 23 |
| 2016 | $1.1K | $810.01 | 1.40x | $321.11 | $3.7M | 4.6K | 24 |
| 2017 | $2.0K | $737.97 | 2.77x | $1.3K | $4.0M | 5.4K | 27 |
| 2018 | $2.0K | $731.15 | 2.76x | $1.3K | $4.1M | 5.7K | 26 |
| 2019 | $2.1K | $724.68 | 2.84x | $1.3K | $4.1M | 5.7K | 26 |
| 2020 | $1.1K | $433.56 | 2.63x | $707.22 | $4.8M | 11.2K | 27 |
| 2021 | $2.2K | $821.83 | 2.62x | $1.3K | $5.5M | 6.7K | 32 |
| 2022 | $2.2K | $858.67 | 2.51x | $1.3K | $5.4M | 6.3K | 28 |
| 2023 | $2.2K | $877.58 | 2.46x | $1.3K | $5.7M | 6.5K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 66984 | Removal of cataract with insertion of prosthetic lens | 25.5K | $19.8M | $777.57 | 2.38x |
| 67042 | Removal of membrane of retina with removal of internal limiting membrane of retina | 2.8K | $4.0M | $1.4K | 2.03x |
| V2785 | Processing, preserving and transporting corneal tissue | 1.2K | $3.8M | $3.1K | 1.59x |
| 67036 | Removal of eye fluid (vitreous) between lens and retina | 1.1K | $1.5M | $1.4K | 2.15x |
| 67041 | Removal of membrane of retina | 1.0K | $1.4M | $1.4K | 2.15x |
| 67113 | Complex repair of detached retina and drainage of eye fluid between lens and retina | 997 | $1.4M | $1.4K | 2.16x |
| 66821 | Removal of recurring cataract in lens capsule using a laser | 7.4K | $1.4M | $187.25 | 4.12x |
| 67108 | Repair of detached retina with drainage and removal of eye fluid between lens and retina | 945 | $1.3M | $1.4K | 2.04x |
| 66982 | Complex removal of cataract with insertion of prosthetic lens | 1.7K | $1.3M | $774.48 | 2.42x |
| 15823 | Removal of excessive skin and fat of upper eyelid | 2.7K | $1.2M | $468.20 | 3.29x |
| 65756 | Transplantation of outer layer of corneal tissue | 770 | $1.1M | $1.4K | 1.90x |
| 67904 | Repair of tendon of upper eyelid | 1.6K | $776.0K | $479.00 | 2.98x |
| 67040 | Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser | 404 | $564.6K | $1.4K | 2.01x |
| J1097 | Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml | 5.7K | $480.5K | $84.53 | 2.40x |
| 65755 | Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) | 312 | $429.6K | $1.4K | 1.84x |
| 67917 | Extensive repair of turning-outward eyelid defect | 762 | $353.4K | $463.78 | 3.03x |
| 67950 | Reconstruction of eyelid margin | 818 | $347.9K | $425.34 | 3.43x |
| 67039 | Destruction of eye fluid (vitreous) between lens and retina using a laser | 225 | $326.4K | $1.5K | 2.23x |
| 66991 | Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye | 110 | $279.4K | $2.5K | 1.87x |
| 0191T | Internal insertion of eye fluid drainage device | 126 | $273.4K | $2.2K | 2.07x |
This provider submits charges 2.35 times higher than what Medicare actually pays.
A markup ratio of 2.35x means for every $100 Medicare pays, this provider initially charges $235. 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.
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